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目的 探讨儿童心因性疾病发病诱因、临床表现、治疗及预后。方法 分析总结 6 6例儿童心因性疾病临床与辅助资料。结果 6 6例患儿大多为学龄儿童 ,且均有不良精神因素刺激 ,其中校园因素占 31例(47% ) ,家庭因素占 18例 (2 7% ) ,躯体疾病占 11例 (17% ) ,其他 6例 ,如惊吓、胆怯、意外事故等。临床表现各异 ,以瘫痪和抽搐最多 ,各占 36 %和 18%。治疗以心理治疗和暗示治疗为主 ,效果明显 ,预后良好。结论 儿童心因性疾病并不少见 ,其发病与社会及家庭环境关系密切 ,故家长和老师应加强对学龄儿童精神心理教育 ,以降低该病的发生。同时该病表现多样 ,易误诊 ,应引起儿科医生的重视
Objective To explore the causes, clinical manifestation, treatment and prognosis of psychogenic diseases in children. Methods The clinical and auxiliary data of 66 cases of children with psychogenic disease were analyzed and summarized. Results Sixty-six children were mostly of school-age children and had adverse mental stimuli. Among them, 31 cases were on campus (47%), 18 cases were family factors (27%), and 11 cases (17%) were somatic diseases , The other 6 cases, such as scared, timid, accidents and so on. Different clinical manifestations to paralysis and convulsions up to 36% and 18%. Treatment with psychological treatment and suggestive treatment, the effect is obvious, the prognosis is good. Conclusion Childhood psychogenic diseases are not uncommon. Their incidence is closely related to the social and family environment. Therefore, parents and teachers should strengthen their mental and psychological education in school-age children in order to reduce their occurrence. At the same time the performance of the disease varied, easily misdiagnosed, should pay attention to pediatricians