基层医疗机构中儿童抽动障碍的误诊分析

Study on Tic Disorder Misdiagnosis at Basic Unit Hospital

目的探讨在基层医疗机构中儿童抽动障碍的误诊原因,减少误诊漏诊。方法对35例儿童抽动障碍患儿的临床诊治经历进行整理分析。结果 35例儿童抽动障碍患儿均有误诊,原因主要是基层医师对该病的认识极为不足、家长不重视以及该病诊断为描述性诊断。结论该病临床误诊率很高,基层医师全面掌握其基本表现和临床特点,加强责任心,做好及时的转诊,以减少误诊。同时呼吁家长和学校要重视儿童的心理健康,对减少该病的发生率,并防止延误诊断造成患儿身心损害。

Objective To summarize the clinical characteristics of tic disorder in children,explore causes of misdiagnosis in order to reduce misdiagnosis.Methods The clinical data,diagnosis and treatment of 35 children with tic disorder were analyzed.Results 35 children with tic disorder almost were tend to be misdiagnosed,the main symptom was transient tic disorder,because their clinical manifestations were diversification.The main causes of misdiagnosis include： parent paying no attention to thedisease,insufficient understanding of doctors,uncertainty of diagnosis.Conclusion Knowing the clinical characteristics of tic disorder correctlyand judging the severity of the disease accurately,individualized drug therapy and psychological guidance are necessary,The clinical misdiagnosis rate of the disease is very high.To reduce the misdiagnosisrate,it is very important that the doctors master the basic manifestations and clinical characteristics,the parents and schools pay more attention to mental health of children.