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病历摘要患者李×,男性,48岁,已婚,医师。住院号54007。病理解剖号A—1095。因牵连观念、被害妄想、幻听3月,四肢肌张力增高十余天,昏迷七天,于1978年12月28日入院。患者1978年8月感冒后出现失眠,逐渐加重,9月因“黑便”住本院内科治疗。住院后失眠加重,紧张焦虑,有被害妄想,住院23天自动出院。在家迫害感加重,服用泰尔登无效。11月14日诊断“精神分裂症”住入某院精神科,给予奋乃静、最大剂量24毫克1天,泰尔登(最大剂量200毫克/天)及“胰岛素休克”等综合治疗十余日。11月25日病人拒食,病情日见加重,四肢好动,肌张力增加,大小便失禁,当时考虑为抗
Patient Summary Patient Li ×, male, 48 years old, married, physician. Hospital number 54007. Pathology Anatomy No. A-1095. Due to the concept of involvement, murder delusion, auditory hallucinations in March, limb muscle tension increased more than ten days, coma for seven days, on December 28, 1978 admission. Patients with insomnia in August 1978 after a cold, and gradually increased, in September due to “melena” living hospital medical treatment. Insomnia increased after hospitalization, tension and anxiety, delusional victimization, hospitalized 23 days automatically discharged. Increased persecution at home, taking Telford invalid. November 14 diagnosis of “schizophrenia” admitted to a hospital psychiatric department, given perphenazine, maximum dose of 24 mg for 1 day, Telford (maximum dose of 200 mg / day) and “insulin shock” and more comprehensive treatment of more than ten day. November 25, the patient refused to eat, the condition worsened, limbs and restless, increased muscle tone, incontinence, was considered as anti-