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46岁女性近2年混合型癔症发作第3次住院,给暗示电麻辅以抗精神病药治疗,因出现锥外反应停用精神药物,锥外反应消失。但随即出现兴奋躁动、拒食尿床等症。给氯氮平50mg顿服,30分钟后入睡,7个半时后突然出现全身抽动伴呻呤。急测体温39℃多汗。予物理和药物降温,同时肌注安定和氟美松各10mg。抽搐停止,体温渐降。次日晨测体温正常,强刺激无反应,双瞳孔小如针尖,颈硬,双肺呼吸音粗并肺底湿性罗音,四肢肌张力高。其它物理和实验室
46-year-old woman nearly 2 years of mixed hysteria episode of the third hospitalization, to imply Dian Ma supplemented by antipsychotics, due to the emergence of cone reaction to disable psychotropic drugs, cone reaction disappeared. But then excited restlessness, refused to eat wet bed embolism. Clozapine 50mg served Dayton, 30 minutes after falling asleep, 7 and a half hours after the sudden onset of systemic tic with groan. Urgent temperature 39 ℃ sweat. To physical and drug cooling, while intramuscular diazepam and 10 mg each. Convulsions stopped, body temperature gradually decreased. The morning of the next morning temperature was normal, strong stimulation no response, double pupil small tip, stiff neck, lung breath sounds rough and bottom of the lung wet rales, limb muscle tension high. Other physics and laboratory