某男,40岁,个体户,市外旅游数天后突发兴奋露体、失眠、毁物、称被某些女人下毒,命不久矣,而写下遗书。次日,与妻到某大酒店吃饭,进餐间突然冲入洗手间淋浴,戏谑自语,虽加劝阻不从,又奔出餐厅,打烂吊灯、桌椅等,后由武警制服送住院。 患者小学文化,一向体健,约10年前因家庭纠纷诱发精神异常而住院25天,诊断为“反应性精神病”,出院后未继续服药治疗。数年前曾有婚外性行为,被 A man, 40 years old, self-employed, suddenly excited after a few days outside the city tour dew, insomnia, destruction of things, said some women poisoning, life short, and write a suicide note. The next day, with his wife to a hotel for dinner, suddenly into the dining room shower toilet, banter himself, though not discouraged, but also ran out of restaurants, chaos chandeliers, tables and chairs, etc., after the armed police uniforms sent to hospital. Primary school culture of patients has always been healthy, about 10 years ago because of family disputes induced mental disorders and hospitalization for 25 days, diagnosed as “reactive psychosis”, did not continue to take medication after discharge. A few years ago had extramarital sex, was