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背景:动力性失语是失语的一个较少见类型,有必要进一步了解。目的:探讨动力性失语的临床特点、病因、发病机制及其预后。设计:病例分析。单位:百色市人民医院。地点和对象:1995-01/2002-04百色市人民医院神经内科收治的具有动力性失语症状的患者10例。干预:对10例患者进行核实诊断,就其失语的特点、原发病及其与失语的关系、治疗措施及结果、发病机制及预后作回顾性分析。主要观察指标:发病诱因、临床表现、原发病及并发症、失语的发生发展和转归。结果:10例患者中7例无明显诱因,3例主要与疲劳有关。除动力性失语外,随原发病的不同而有不同的综合表现。9例患者2～7d完全恢复语言功能,1例患者反复失语后因病情发展转变为构音不良。结论:动力性失语表现为突然发生的口语表达不能,而听、读、写能力保留,预后良好。它可作为脑病的惟一、首发或伴发症状。其发生与语言运动辅区的直接或间接受累有关。
Background: Aphasia is a less common type of aphasia and needs to be further understood. Objective: To investigate the clinical features, etiology, pathogenesis and prognosis of motility aphasia. Design: Case Analysis. Unit: Baise People’s Hospital. Location and Subjects: 10 patients with motility aphasia admitted to the Department of Neurology, Baise People ’s Hospital from January 1995 to April 2002. Intervention: 10 patients were verified by the diagnosis, the characteristics of aphasia, the primary disease and its relationship with the aphasia, the treatment measures and results, the pathogenesis and prognosis for retrospective analysis. MAIN OUTCOME MEASURES: Incidence, clinical manifestations, primary disease and complications, aphasia development and outcome. Results: Of the 10 patients, 7 had no obvious causes, and 3 were mainly related to fatigue. In addition to motility aphasia, with the original disease different and have different comprehensive performance. Nine patients recovered the speech function completely from 2 to 7 days, and one patient changed to dysarthria after repeated aphasia due to the progression of the disease. Conclusions: Aphasia is characterized by a sudden failure to express oral English while retaining the ability to listen, read and write, with a good prognosis. It can be used as the only encephalopathy, starting or accompanying symptoms. Its occurrence is related to the direct or indirect involvement of the locomotor area of speech.