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精神兴奋剂一般用于治疗多动症儿童,但也可用神经药理学性质完全相反的另一类药物——神经阻滞剂治疗。本文报导两例多动症儿童,用神经阻滞剂治疗时,引起抽动。例1:男孩9岁,有长期严重的情绪和行为障碍病史,包括多动,注意涣散,违抗、冲动和破坏行为。智商80,并且有严重的知觉障碍。无头部创伤、脑炎、癫痫发作、运动障碍、Tourette病及其它神经系统病史。无Tourette病家族史。曾在儿童精神科做过行为疗法和教育措施。服右旋苯丙胺5mgBid时,该儿童的注意及行为获得改善。但治疗10天后,面、颈、肩和唇出现中度至严重抽搐、发声性抽动及清喉性抽动。撤除右
Psychostimulants are generally used to treat children with ADHD, but they can also be treated with another type of neuropharmacology that is exactly the opposite - nerve blockers. This article reports two cases of ADHD children, when treated with nerve blockers, causing tic. Example 1: A boy 9 years old has a long history of severe emotional and behavioral disorders, including hyperactivity, attention deficit, defiance, impulsivity and vandalism. IQ 80, and have serious perceived disorders. No head trauma, encephalitis, seizures, dyskinesia, Tourette’s disease and other neurological medical history. No family history of Tourette disease. Has conducted behavioral remedies and educational measures in children’s psychiatry. When dexamphetamine 5 mg Bid was given, the child’s attention and behavior improved. However, 10 days after treatment, the face, neck, shoulders and lips appear moderate to severe convulsions, vocal tics and laryngeal tics. Remove right