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1 病例报告患者男,31岁。患精神分裂症8年,于1998—02—10再次入我院精神科。入院后经口服氯氮平、氯丙嗪治疗,精神症状基本控制,但一般情况较差,极度消瘦,食欲不好,虽经医生多方调理,但无明显改善。同年—10—16,出现轻度咳嗽、厌食,未引起医生重视。于18日午后出现呼吸困难,并进行性加重,至16:00发现面色苍白、大汗,呼吸45/min,心率140/min,右肺呼吸音消失。急摄胸片示:右肺纹理消失,纵隔左移,因卧位片不能确定有无积液。当晚19:00于右侧胸第二肋间隙行胸腔闭式引流术,见大量气体排出,随后可见黄
1 case report Patient male, 31 years old. Schizophrenia for 8 years, in 1998-02-10 again into our hospital psychiatry. After admission by oral clozapine, chlorpromazine treatment, the basic control of mental symptoms, but the general situation is poor, extremely thin, poor appetite, although the doctor multi-conditioning, but no significant improvement. The same year -10-16, mild cough, anorexia, did not cause doctors attention. On the afternoon of the 18th, she developed dyspnea and developed aggravating symptoms. She was pale and sweaty at 16:00, breathing at 45 / min, with a heart rate of 140 / min, and her left lung breath sounds disappeared. Emergency chest X-ray showed: the right lung texture disappears, mediastinal left, because of supine position can not determine whether the fluid. 19:00 on the right chest second intercostal space chest closed drainage, see a large number of gas discharge, then yellow