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人为性偏瘫:病例报告。

Factitious triplegia: case report.

作者信息

Berry J F, Hillis R E, Hitzman S E

机构信息

Section of Physical Medicine and Rehabilitation, Louisiana State University Medical Center, New Orleans 70112.

出版信息

Arch Phys Med Rehabil. 1994 Oct;75(10):1161-4. doi: 10.1016/0003-9993(94)90095-7.

Abstract

A 37-year-old woman was admitted for rehabilitation of triplegia with diagnoses of conversion disorder and possible multiple sclerosis. Attempts to manage the patient with techniques often effective with conversion disorders were unsuccessful, and the patient was discharged to a nursing home. After the development of further symptoms and a second extensive medical work-up, the factitious nature of her symptoms became evident. Awareness of the characteristics of factitious disorders, early background investigation, and psychiatric consultation can facilitate the appropriate management and referral of these patients, and spare rehabilitation providers the frustrations and possible medicolegal complications of patients with this disorder.

摘要

一名37岁女性因三肢麻痹康复入院,诊断为转换障碍和可能的多发性硬化症。尝试采用对转换障碍通常有效的技术来治疗该患者,但未成功,患者随后被送往养老院。在出现进一步症状并进行了第二次全面医学检查后,其症状的人为性变得明显。了解人为障碍的特征、早期背景调查和精神科会诊有助于对这些患者进行适当的管理和转诊,并使康复治疗人员避免因这类患者而产生挫折感以及可能出现的医疗法律并发症。

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