肝豆状核变性是一种常染色体隐性遗传的铜代谢障碍疾病,以精神障碍为首发症状的占少数,但较易误诊。本文分析两例误诊的经验教训。 例1,史××,女,17岁。未婚,于1991年2月不明原因的出现发呆,傻笑,生活不能自理,2月余后就诊,诊断为“癔病”,体检:肝功正常,肝触诊不大,给予对症治疗,效果不明显,病情加重,详细体格检查后发现眼角膜 Hepatolenticular degeneration is an autosomal recessive copper metabolism disorders, mental disorders as the first symptom of the minority, but more likely to be misdiagnosed. This article analyzes two cases of misdiagnosis and experience. Example 1, history × ×, female, 17 years old. Unmarried, in February 1991 unknown causes of a daze, giggle, life can not take care of themselves, after more than two months of treatment, diagnosed as “hysteria”, physical examination: normal liver function, palpation of the liver is not given symptomatic treatment, the effect is not obvious , Exacerbations, detailed examination of the cornea found after physical examination