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患者女,42岁。咳嗽,咯痰,气喘10年,心悸7月,双下肢浮肿半月,于1992年3月14日入院.给予青霉素、庆大霉素静脉输注,吸氧,解痉,祛痰等治疗病情渐好转。4月6日,出现兴奋躁动,多语、胡言、幻觉、打闹、并有自杀念头。化验血 K~+、Na~+、Cl~-、CO_2-CP 正常,缺氧症状不明显。先按肺性脑病治疗无效后,肌注氯丙嗪50mg 一次,奋乃静40mg3次/日口服,昏睡12小时后精神及行为恢复正常。能系统回顾,并诉发病前有家庭及社会不利因素的刺激。住院50天好转出院。出院诊断:慢性气管炎,阻塞性肺气肿,肺心病,反应性精神病。
Female patient, 42 years old. Cough, expectoration, asthma 10 years, palpitations in July, double lower extremity edema, was admitted to hospital on March 14, 1992. Give penicillin, gentamicin intravenous infusion, oxygen, spasm, expectorant and other treatment gradually Better. April 6, there excited excitement, multilingual, nonsense, hallucinations, slapstick, and suicidal thoughts. Blood test K ~ +, Na ~ +, Cl ~ -, CO_2-CP normal hypoxia symptoms were not obvious. After the treatment of pulmonary encephalopathy by the first invalid, intramuscular injection of chlorpromazine 50mg, perphenazine 40mg3 times / day orally, 12 hours after sleeping spirit and behavior returned to normal. Can systematically review and appeal to the onset of family and social factors adverse stimuli. 50 days hospital admission improved. Discharge diagnosis: Chronic bronchitis, obstructive pulmonary emphysema, pulmonary heart disease, reactive psychosis.