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zhong shu xing fa yin zhang ai ji qi te zheng
Author(s): 
Pages: 524-526
Year: Issue:  6
Journal: Chinese Journal of Otorhinolaryngology Head and Neck Surgery

Abstract: 言语和唱歌等发声活动是呼吸、发声、共鸣和发(构)音器官之间的高度协调活动.中枢神经系统在言语、歌唱的发动与中止,以及在呼吸、发声、发音器官肌肉群的运动及动作协调方面起着重要的作用.中枢神经性病变在早期可能是以发声障碍或发音障碍(言语不清)表现出来,因此常首先就诊于耳鼻咽喉科,如果耳鼻咽喉科医生或神经内科医生不具备语言病理学方面的知识,可能会误认为是发声器官(喉部)的病变. 中枢性发声障碍通常不存在声带病变,在进行喉镜检查时仅表现为声带张力下降、声带运动迟缓或受限等,可能被误诊为功能不良性发声障碍,没有考虑到中枢性原因而进一步检查,将延误对原发疾病的诊断及治疗.
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