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1 病历摘要患者,男,27岁,工人。自1990年起无明显诱因出现精神症状,主要表现为少语、孤独、自语、怀疑有人害己并有冲动伤人行为。入院后,诊断:精神分裂症。给予舒必利、氯丙嗪、氯氮平等药治疗,治疗至1991年8月出现头颈向右斜,舌头不自主伸出,两手向后扭转,给肌注海俄辛,每日1次0.3mg,无效。1994年2月上述症状加重,且伴有角弓反张;吸烟、进食时症状减轻,睡眠时可见消失。考虑可能系氯丙嗪所致,故予停用,改服异丙嗪、泰必剂,症状无好
1 patient summary patient, male, 27 years old, worker. Since 1990, no obvious incentive to mental symptoms, mainly manifested as aphorisms, loneliness, self-proclaimed, suspected that someone has hurt and have the urge to hurt the human behavior. After admission, diagnosis: schizophrenia. Give sulpiride, chlorpromazine, clozapine and other drug treatment, treatment until August 1991, head and neck ramp to the right, the tongue involuntarily stretched out his hands backward twist to the intramuscular injection of Oestrus, 0.3mg daily, invalid. February 1994 The above symptoms aggravate, accompanied by corner arch anti-Zhang; smoking, eating reduce symptoms, disappear when sleep. Consider may be caused by chlorpromazine, it is to disable, change service promethazine, Thailand will be the agent, no symptoms