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目的分析汉语失读特点并探讨其机制。方法对6例经皮质感觉性失语并深部失读患者做补充阅读检查——92个词先朗读,后配画或解释。结果6例有85个错读词。48个词义错读词中大多可正确配画或解释;19个近形错读词和11个近音错读词中大多不能正确配画或解释。7个部分词朗读中3个可正确配画。结论字的视觉传入可激活词义系统,但由于字位-音位转换有缺陷致不能正确选择而出现词义错读。错读的语音可激活语音系统,但从同音异义字中选择有缺陷。未证明汉字朗读有语音途径。
Objective To analyze the characteristics of Chinese misreading and to explore its mechanism. Methods Six patients with transcortical sensory aphasia and deep misreading were examined with supplementary reading - 92 words were read first, then painted or explained. Results 6 cases have 85 misread words. Most of the 48 word misread words can be correctly assigned or explained; 19 most misread words and 11 near mispronunciations can not be correctly assigned or explained. 7 part of the word reading 3 can be correct with the painting. Conclusion The visual input of the word can activate the word system, but the word meaning misread occurs because the word-bit conversion has defects. Misread speech can activate the speech system, but the choice of homophones is flawed. There is no proof of Chinese speech aloud voice path.