本文报告一例肺结核患者用利福平治疗时发生急性器质性脑综合征。患者男性60岁,既往无精神病史,也无酗酒、吸烟史。入院前用异菸肼550毫克、乙胺丁醇1800毫克、链霉素1克、维生素B_6 50毫克,每日一次。入院后继续服异菸肼和维生素 B_6,加服利福平 This article reports an acute organic brain syndrome in a tuberculosis patient treated with rifampicin. Male patients 60 years old, no previous history of mental illness, no alcoholism, smoking history. Before admission with isoniazid 550 mg, ethambutol 1800 mg, streptomycin 1 g, vitamin B_6 50 mg once daily. After admission to continue isoniazid and vitamin B_6, plus rifampicin