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病例:女,39岁。1983年首次出现精神症状,同年10月和1987年4月两次住精神病院,诊断精神分裂症,用氯氮平、氯丙嗪治疗。1987年7月14日第二次获愈出院后服氯丙嗪每晚150mg。1988年3月26日起腹泻,1周后突然躁动不安,胡言乱语并发热,送当地医院查脑电图“中度异常”,诊断“散发性脑炎”。经脱水、皮质激素和抗生素治疗效果不佳。不久患者缄默、僵住,转入我院。发病前无感冒史,既往无高血压、肝炎病史。检查:体温38.4,脉博120,呼吸28,血压21.3/14.6KPa,意识混浊,面色苍白,多汗,双日凝视,口微开,流涎,呈紧张性木僵外观,心率120次/分,律齐,肺无异
Case: Female, 39 years old. Psychiatric symptoms first appeared in 1983, twice in psychiatric hospitals in October and April 1987, diagnosis of schizophrenia, and treatment with clozapine and chlorpromazine. July 14, 1987 The second was discharged after taking chlorpromazine 150mg per night. March 26, 1988 diarrhea, 1 week after a sudden restless, nonsense and fever, sent to the local hospital check EEG “moderate abnormalities,” diagnosis of “sporadic encephalitis.” After dehydration, corticosteroids and antibiotics ineffective treatment. Shortly after the patient was silent, stiff, transferred to our hospital. Before the onset of a history of cold, no previous history of hypertension, hepatitis history. Check: body temperature 38.4, pulse Bo 120, breathing 28, blood pressure 21.3 / 14.6KPa, confusion, pale, sweating, double stare, mouth micro open, salivation, nervous stupor appearance, heart rate 120 beats / min, Law Qi, lungs no different