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目的：：为了深入探讨影响儿童癔症的临床特点。方法：对60例儿童癔症的临床特点和实验室资料进行分析。并通过MRI,CT,脑电图检查，另外还进行了心电图，脑脊液，心肌酶等检查。结果：60例患者中男26例，女34例；城市32例，农村28例。发病年龄为7～15岁，平均(9.26±1.02)岁。发病诱因明确者56例，其中学习负担过重36例，受过批评者是16例，家庭环境不良4例,临床主要表现为瘫疾22例，产生发作性胸闷、胸痛或憋气和过度通气的16例，抽搐9例，其他如头疼，晕厥，感觉异常，头晕，幻视等。曾被误诊15例为癫痫，5例为周期性麻痹，4例为病毒性脑炎，2例为病毒性心肌炎，其余为发作性睡病，风湿热，过敏性紫癜，静脉炎，脊髓炎各1例。所有辅助检查未见阳性指征，排除器质性疾病。结论：儿童癔症很常见，学习负担过重是首发因素，临床表现复杂，易于误诊，应引起临床医师的重视。“,”[abstract] Objective To elucidate the Clinical characteristics of hysteria in childhood.Methods The clinical features of hysteria in 60 children were analyzed. MRI,CT and EEG inciuding Video-EEG,24 hours EEG and conventional EEG were done.Other laboratory examinations such as ECG,CSF,CPK,etc.were also done on some cases. Results Totaly 60cases (26 males and 34 females) were studied. Among them,32 cases lived in urban and 28 cases lived in rural areas. The onset of the disease in children was between 7 and 15 years old, average(9.26±1.02) years old.56caseshad known factors of inducement. Among them,36caseswere due to the heavy load of schooi work,16 cases related to the being criticized and 4 cases due to the bad relations betweentheirparents.Th-patients-manifestedasparalysis(n=22),adnormalrespiration(n=16)convulsion(n=9),headache,syncope,sensory,disurbance,dizziness,visual halacination,etc.The patients were misdiagnosed as epilepsy in 15, periodic paralysis in 5,viral encephalitis in 4, viral myocarditis in 2,narcolepsy in 1,rheumatic fever in 1,anaphylactic purpura in 1,phlebitis in 1 and myelitis in 1 case,respectively. Al the examineations were negative,which helped us to exclude other organic diseases. Conclusion The hysteria in childhood were not rare.The heavy load of school work was the most important inducing factor, The clinical manifestations were various, and they were likely to be misdiagnosed.clinicianclinicist shold pay great attention to the hysteria in children.