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抽动-秽语综合征(TS),是中枢神经介质传递障碍,多巴胺机能缺损有关的锥体外系疾病,临床上以多发性抽动、暴发性的不自主发声为特征。本病国内报道中均见于18岁以前发病,而我们收治1例64岁老人,既往无精神分裂症及抽搐史,出现秽语及抽动,用氟哌啶醇治疗后症状消失,现报告如下;患者男性,64岁,干部。因不自主地发出怪声、打嗝、咂嘴、眨眼3年,来我院就医。8年前自觉胸闷、发憋、打嗝,曾先后作7次胃镜,除一次怀疑食道裂孔疝外均未见异常。自1983年后症状加重,不自主地自喉发出“啊希、啊……啊,巴希、巴希、吁”……之秽语,伴打嗝,声音极大,有时喷出胃内容物,
Tourette’s syndrome (TS) is an extrapyramidal disease associated with central nervous system dysfunction and dopaminergic deficits. It is characterized by multiple tics and fulminant involuntary vocalizations. Domestic reports of this disease are seen in the onset of 18 years of age, and we treated a 64-year-old man, without previous schizophrenia and convulsions, the appearance of Tourette and tic, with haloperidol treatment symptoms disappeared, the report is as follows; patients Male, 64 years old, cadre. Unusual strange noise, hiccups, pouting, blink of an eye 3 years, come to our hospital for medical treatment. 8 years ago conscious chest tightness, hair hold, hiccups, had 7 times gastroscopy, except for a suspected esophageal hiatal hernia were no exception. Since 1983, with the aggravating symptoms, they have involuntarily issued “Ahh, Ah ... ah, Bashi and Bashi, appealing to ...” the humorous words accompanied by hiccups and loud voices that sometimes spit out stomach contents,