摘要
目的 探讨精神科门诊首诊癔症的误诊原因。方法 按照CCMD 3诊断标准 ,比较门诊与住院对癔症诊断的差别。结果 检出误诊病例 5 1例 ,且病程不足 1个月和大于 3年者较易误诊 ,误诊为精神分裂症和神经症者均为 2 0 %以上 ,急性应激障碍和器质性疾病者均接近 2 0 % ,心境障碍者 15 %以上。结论 精神科门诊癔症首诊误诊的原因可能与病史提供不全面 ,病程较短 ,早期症状不典型 。
Objective To explore the causes of misdiagnosis of hysteria first-diagnosis in psychiatric outpatient department. Methods According to CCMD-3, diagnostic differences were compared between the outpatient and inpatient departments. Results The cases whose disease course was less than one month or more than three years were apt to be misdiagnosed. Among them, schizophrenia and neurosis were all above 20%,acute stress disorders and organic mental disorders were all near 20%,and mood disorder was above 15%.Conclusion Factors of misdiagnosis of hysteria in psychiatric outpatient department during first consulting might be as following: insufficient history, short disease course, atypical early symptoms, and different diagnostic criteria.
出处
《临床心身疾病杂志》
CAS
2004年第3期176-177,共2页
Journal of Clinical Psychosomatic Diseases
关键词
精神科
首诊
癔症
误诊原因
Psychiatric department
first-diagnosis
hysteria
misdiagnosis
