Saunders R M, Cameron J
Department of Surgical Dentistry, School of Dentistry, University of Colorado, Denver, USA.
Compend Contin Educ Dent. 1997 May;18(5):430-3, 436, 438 passim.
Uncontrollable disruptive gagging makes most dental procedures impossible to perform. Well-intentioned interventions by dentists often fail because of the inability to differentiate between psychogenic disruptive gagging and disruptive gagging of somatic origin. To help the clinician differentiate the diagnosis and management of somatogenic disruptive gagging from the psychogenic form, a review of the pertinent literature, diagnostic criteria, treatment recommendations, and a clinical case of psychogenic disruptive gagging are presented.
无法控制的干扰性恶心使得大多数牙科手术无法进行。由于无法区分心因性干扰性恶心和躯体源性干扰性恶心，牙医善意的干预往往会失败。为帮助临床医生区分躯体源性干扰性恶心与心因性干扰性恶心的诊断和管理，本文对相关文献、诊断标准、治疗建议进行了综述，并介绍了一例心因性干扰性恶心的临床病例。
