Gilles de Ia Tourette 综合征1825年首先由 Itard 报导,1885年 Gilles dela Tourette 详细描述故命名。临床特点是多发性抽动、爆发性不自主发声、早年起病慢性病程、男性显著多于女性。由于对本综合征重视不够,常易误诊。现将我院收治的1例报告如下。病例报告:袁×、男、25岁住院号98369,1980年7月就诊。从9岁起无明显诱因急速眨眼、口角抽动、上肢猛然屈曲或拍击胸部,急促吸气并发出“嗯一嗯”声。常于紧张或激动时发作。能坚持上学,成绩一般。20岁时精神受到刺激病情加重。每天都有发作,除上述症状外又加耸肩、下肢伸踢交替出现。发病时神志清楚,无晕厥摔倒现象,但有时扔掉手中物品,渐影响工作。不能自行克制,内心很痛苦。曾在当地按癔病服用多种镇静药无 The Gilles de Ia Tourette syndrome was first reported by Itard in 1825, and in 1885 Gilles dela Tourette described in detail the name. Clinical features are multiple twitching, explosive involuntary vocalization, chronic disease early onset, significantly more men than women. Due to insufficient attention to this syndrome, often misdiagnosed. Now in our hospital one case reported as follows. Case report: Yuan ×, male, 25 years old hospital number 98369, July 1980 treatment. From the age of 9 no obvious cause of rapid blink, mouth twitching, sudden upper limb flexion or slap the chest, rapid inspiration and issued a “ah a” sound. Often nervous or excited attack. Can insist on school, grades in general. 20-year-old mental irritation aggravated. Every day there are seizures, in addition to the above symptoms plus shrugs, lower extremities stretch alternately. Conscious when onset, no syncope falls phenomenon, but sometimes thrown away items in hand, gradually affect the work. Can not exercise restraint, the heart is very painful. Have taken a variety of sedatives in the local moxibustion