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霍×,男,30岁,H:20711,诊断精神分裂症住院,体检正常,心电图正常。初用氟哌啶醇54毫克/日治疗46天,因尿潴留,锥体外系反应加安4mg日三次,妄想未动摇。改为氯丙嗪600mg/日,奋乃静30mg/日,一月余未见好转。又改为氯丙嗪600mg合并三氟拉嗪40mg/日,第34天病人晨间自己起床去厕所,回房间卧床后即感双下肢无力,欲抬不能。查双上肢肌力,肌张力正常,双下肢肌力Ⅱ°,肌张力正常,腱反射对称,感觉正常。当日肌力进行性降低,下午双下肢肌力为Ⅰ°,肌张力也减弱,而上肢肌力及肌张力仍正常。腹部膨隆,叩鼓。上午血钾3.6mFq/L,心电图示低钾,ST段,
Huo ×, male, 30 years old, H: 20711, diagnosed schizophrenia hospitalized, physical examination, normal ECG. Initial use of haloperidol 54 mg / day treatment for 46 days, due to urinary retention, extrapyramidal reaction plus Ann 4mg three times, delusional unshaken. To chlorpromazine 600mg / day, perphenazine 30mg / day, I did not improve in January. Also changed to chlorpromazine 600mg trifluoperazine 40mg / day, the first 34 days patients get up to go to the toilet in the morning, back to the room after feeling both legs weakness, want to lift can not. Check the upper limb muscle strength, normal muscle tone, muscle strength of both lower extremities Ⅱ °, normal muscle tone, tendon reflex symmetry, the feeling of normal. On the day of progressive decline in muscle strength, afternoon lower extremity muscle strength of Ⅰ °, muscle tension also weakened, while the upper limb muscle strength and muscle tone are still normal. Abdominal bulge, beat the drum. Morning potassium 3.6mFq / L, ECG showed low potassium, ST segment,