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目的通过对肝豆状核变性误诊精神分裂症的临床分析,了解和掌握肝豆状核变性的临床特点,以减少误诊。方法从本院病案室微机中调出2005～2009年精神科出院的病历中,筛选出肝豆状核变性曾经误诊为精神分裂症病的病例。结果在近二万份出院的病例当中,共找出5例肝豆状核变性曾经误诊为精神分裂症病的病例。结论以青年为主,精神症状先于神经体征出现之前,对怀疑肝豆状核变性的病例应及早进行眼科裂隙灯检查以减少误诊。
Objective To understand and master the clinical features of Wilson’s disease through misdiagnosis of hepatolenticular degeneration schizophrenia to reduce misdiagnosis. Methods The computer records of psychiatric hospital discharged from 2005 to 2009 were retrieved from the computer of our hospital, and the cases of Wilson’s disease that had been misdiagnosed as schizophrenia were screened out. Results Of nearly 20,000 cases of discharge, a total of 5 cases of Wilson’s disease were misdiagnosed as schizophrenia. Conclusions Mostly young, psychiatric symptoms precede the appearance of neurological signs. Examination of the slit lamp for ophthalmologic examination should be conducted as early as possible to reduce the misdiagnosis of cases with Wilson’s disease.