患者,男,23岁。1983年10月3日2时10分因头痛,舌发硬,失语5小时收住耳鼻咽喉科。患者既往体健。体检:体温36.5℃,脉搏72次/分,血压14.7/9.3kPa。神志清楚,颈软。心、肺、腹无异常发现。咽部:粘膜轻度充血,腭扁桃体Ⅰ°肿大。间接喉镜下声带、会厌轻度充血,声带闭合良好。诊断为“癔病性失语,慢性咽炎”,给予消炎对症治疗。5小时后患者能正常发音,其他症状亦消失。2天后患者咽部炎症好转,因胃痛纳差于10月5日转入内科治疗。诊断为慢性胃炎,给予胃复安等药口服 Patient, male, 23 years old. At 03:10 on October 3, 1983 because of a headache, tongue stiff, aphasia 5 hours to receive otolaryngology. Past patient’s health. Physical examination: body temperature 36.5 ℃, pulse 72 beats / min, blood pressure 14.7 / 9.3kPa. Conscious, soft neck. Heart, lung, abdomen without exception found. Pharynx: mucosal mild hyperemia, tonsil tonsil I ° enlargement. Indirect laryngoscope vocal cords, epiglottis mild congestion, vocal cord closure is good. Diagnosed as “hysteria aphasia, chronic pharyngitis”, given anti-inflammatory symptomatic treatment. After 5 hours, the patient can pronounce normally and other symptoms disappear. 2 days after the patient’s pharyngeal inflammation improved, due to poor stomach function transferred to October 5 medical treatment. Diagnosis of chronic gastritis, given oral medication such as metoclopramide