癔病或称歇斯底里,其精神因素在发病中起着主要作用。本病好发于青年,女性较多见,癔病患者的临床症状可归癔病性精神障碍和癔病性躯体障碍两类,癔病性瘫痪即属后一种。一、症状与体征癔病性瘫痪以单瘫或截瘫为多,常系突然发病。如治疗或暗示不当,症状可能持续下来,长期肢体不能运动或卧床不起,不会行走等。体检时,可见瘫痪的肢体腱反射正常或增强,肌张力良好,无锥体束征。一般无肌肉萎缩。检查时还可见到对抗的两组肌肉同时收缩,以致不能完成指定动作,电刺激反应正常,有的病人表现运动 Hysteria or hysteria, the mental factors play a major role in the pathogenesis. The disease occurs in young people, women are more common, hysteria patients with clinical symptoms can be divided into two types of mental disorders and hysteria somatic disorders, hysteria paralysis that is the latter. First, the symptoms and signs Hysteria paralysis to paralysis or paraplegia as much, often sudden onset. If treatment or implicit, the symptoms may persist, long-term limbs can not exercise or bedridden, will not walk and so on. Physical examination shows paralyzed limb tendon reflexes normal or enhanced, good muscle tone, no pyramidal tract signs. Generally no muscle atrophy. Check can also see the two groups of muscles contradictory at the same time contractions, resulting in failure to complete the specified action, electrical stimulation reaction was normal, and some patients performance exercise