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病例:女,54岁,一月前因“睡眠障碍”于某医院诊治.服氯丙嗪和多虑平,患者自行将两药剂量均增至250mg/d,同时用安坦6mg/d。一周前突然高热达40℃,伴手抖、肢体僵硬、动作迟缓、步态不稳。血常规正常,尿中有脓球,诊断为尿路感染,使用氟哌酸、庆大霉素治疗,4天后尿常规检查正常,但体温仍持续不降,改用青霉素治疗,数日后出现意识模糊、乱语,转诊入我院。患者入院前给终服用上述剂量精神药物。既往无癫痫
Case: Female, 54 years old, diagnosed as having a “sleep disorder” in a hospital before January 1. Taking chlorpromazine and doxepin, the patients themselves increased the dosage of both drugs to 250mg / d and at the same time, 6mg / d. A week ago suddenly high fever up to 40 ℃, with shaking hands, limb stiffness, slow movements, unsteady gait. Normal blood, pus in urine, diagnosis of urinary tract infection, the use of norfloxacin, gentamicin treatment, urine routine examination after 4 days normal, but the body temperature continued to decline, use penicillin treatment, awareness after a few days Ambiguous, disorder, referral into our hospital. The patient is given the above dose of psychotropic medication before admission. No previous epilepsy