论文部分内容阅读
患者男性,15岁,初中生。品学兼优,性格内向。既往无高热、惊厥、颅脑外伤、抽搐及麻疹史。 1995年5月起学习成绩下降,枕部微痛,6个月后发现在穿衣时,举手良久,唤之无应答;偶自笑、呆楞。11月13日,哭诉老师骗他,说老师阳奉阴违,当晚呆坐不眠。次日精神科就医,检查合作,交谈切题,意识清晰,定向良好,注意涣散,有片断被害观念、幻听、感知综合障碍,言语内容离奇,时而自笑,无自知力;躯体及神经系统未见异常,脑CT未见异常。按“分裂样精神病”治疗,口服舒必利(0.9g/d),疗效满意,3个月后改诊“精神分裂症”。
Male patient, 15 years old, junior high school student. Good academic character, introverted. No history of high fever, convulsions, traumatic brain injury, convulsions and history of measles. Since May 1995, the academic performance has dropped and the occipital part has a slight pain. After 6 months, it is found that when he wears clothes, he raises a long time and calls for a non-response. He even smiled and was stunned. November 13, crying to the teacher to lie to him, saying that teachers shamelessness, stayed sleepless nights. On the following day, psychiatrists took medical treatment, checked cooperation, talked about the topic, and had a clear sense of direction and good orientation. They paid attention to disorganization, No abnormalities, no abnormal brain CT. According to “schizoid psychosis” treatment, oral sulpiride (0.9g / d), with satisfactory results, 3 months after the diagnosis of “schizophrenia.”