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目的 提高对婴儿良性阵发性斜颈的诊断水平。方法 对诊断明确的16 例患儿的临床资料进行分析,主要临床表现:不明原因的斜颈,持续2~3 天,可交替发生于左、右两侧;周期性发作,缓解期无残留畸形;7 例发作时伴面色苍白、呕吐、烦躁、嗜睡;随年龄增长,发作次数减少,周期延长。查体及头颈部X 线片、CT 检查无异常。结果 随访6 个月~4 年,9 例在2 ~5 岁时痊愈,4 例明显好转,3 例失访。结论 根据婴儿良性阵发性斜颈的典型临床特征,即可早期诊断。本病预后良好,为自愈性疾病,勿需手术和药物治疗
Objective To improve the diagnosis of benign parotid torticollis in infants. Methods The clinical data of 16 children with definite diagnosis were analyzed. The main clinical manifestations were: unexplained torticollis lasting 2 ~ 3 days and alternately occurring on the left and right sides. There was no residual deformity in the period of seizure and remission ; 7 cases with pale complexion, vomiting, irritability, drowsiness; with age, the number of seizures decreased, the cycle is extended. Physical examination and head and neck X-ray, CT examination without exception. Results The follow-up ranged from 6 months to 4 years. Nine patients recovered at the age of 2 to 5 years. Four patients were obviously improved and three patients were lost to follow-up. Conclusion According to the typical clinical features of benign paroxysmal torticollis in infants, early diagnosis can be made. The prognosis of the disease is good, self-healing disease, without surgery and drug treatment