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患者男性,45yr,因精神异常1yr,自语、无故哭笑、伤人毁物加重1wk于1989年6月30日诊断为精神分裂症而入院。查体:意识清楚,头颈部未见异常,胸部外形正常,双肺呼吸音清,心界不大,心率110次/min,律齐,未闻及病理性杂音。腹部、四肢及神经系统均未见异常。血、尿、粪与B超检查均未发现异常。心电图:窦性心动过速。既往未患心脏疾患和高血压,家族史无心脏病。入院后给奋乃静(20-30mg/d)治疗,13d后诉胸闷、心慌、全身乏力。此时心电图:窦性心律;房性期前收缩;频繁未下传的房性期前收缩(10-13次/min)。考虑此变化
Male patients, 45yr, due to mental abnormalities 1yr, self-mutilated, laughing for no reason, wounding worsened 1wk on June 30, 1989 was diagnosed as schizophrenia and hospitalization. Examination: Consciousness, no abnormality of the head and neck, chest shape is normal, lung breath sounds clear, heart, heart rate 110 beats / min, law Qi, no smell and pathological murmur. Abdomen, limbs and nervous system were normal. Blood, urine, feces and B-ultrasound were found no abnormalities. Electrocardiogram: Sinus tachycardia. No previous heart disease and hypertension, family history of heart disease. Perphenazine after admission (20-30mg / d) treatment, chest tightness after 13d, palpitation, generalized weakness. ECG at this time: sinus rhythm; atrial contraction; frequent non-transmission of atrial contraction (10-13 times / min). Consider this change