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1 临床资料 患者,男,36岁。4天前在煤井下劳动时,突感剧烈头痛、头昏、胸闷,继之昏倒,不省人事。周围同事无类似症状,将其抬至通风处,神志转清,头痛缓解。返回家中,表现情感淡漠,偶有谵妄、定向障碍。14h前突然出现抽搐,烦躁,大声叫骂,双手不断拍打自己头部,不识家人,甚至打人、咬人。无恐水,怕风、恶心及呕吐、角弓反张等。经人捆绑后送往当地精神病医院,拟诊为“精神病”,给予氟呱啶醇等抗精神病药物治疗近1天,叫骂、打人等躁狂症状不见减轻,送来我院。
1 clinical data patients, male, 36 years old. 4 days ago when working in the coal mine, suddenly sensation headache, dizziness, chest tightness, followed by collapsed, unconscious. Surrounding colleagues without any similar symptoms, lift it to the ventilation, mind clear, headache relief. Return home, the performance of indifference, occasional delirium, disorientation. 14h suddenly convulsions, irritability, shouting scolded, his hands constantly beating his head, do not know the family, and even hit people, bite. No fear of water, fear of the wind, nausea and vomiting, angle bow anti-Zhang and so on. After being tied to the local psychiatric hospital by the people to be diagnosed as “mental illness”, to give antipyretic alcohol and other antipsychotic drugs for nearly 1 day, called curse, hit and other manic symptoms were not alleviated, sent to our hospital.