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汪某,男,14岁,学生。因沉默寡言,有被害观念,毁物9个月而就诊。患者在某院诊断为右侧睾丸下降不全伴右腹股沟斜疝,于1980年8月在硬膜外麻醉下行右侧睾丸固定术及疝修补术,一周后伤口一期愈合。因患侧睾丸略小于健侧,遂给予甲基睾丸素20mg,每日3次,口服,连服33天后(总量1,980mg),出现睡眠差,梦游,沉默寡言,闭门不出,自觉别人在议论他,饮食总是亲自动手。检查发现患侧睾丸较健侧大,立即停用甲基睾丸素,给予苯甲酸雌二醇1mg肌注,每3天一次,5次后,患侧睾丸渐恢复正常大小,但上述精神障碍仍然存在。曾用冬眠灵50mg+异丙嗪25mg两次,患者称头昏而拒服,1981年6月突然将自己
Wang Mou, male, 14 years old, student. Due to taciturn, there is the concept of victimization, destruction of 9 months and treatment. In a hospital diagnosed as right testicular hypoplasia with right inguinal hernia, in August 1980 under epidural anesthesia right testicular fixation and hernia repair, a week after the wound healing. Because of the ipsilateral testis slightly less than the contralateral side, then given methyltestosterone 20mg, 3 times a day orally, and even served for 33 days (total 1,980mg), poor sleep, sleepwalking, reticent, behind closed doors, consciously others In talking about him, the diet is always hands-on. Test found ipsilateral greater testis than the contralateral, immediate withdrawal of methyltestosterone, estradiol benzoate 1mg intramuscular injection once every 3 days, 5 times, ipsilateral testicular gradually returned to normal size, but the above mental disorders are still exist. Had used Simsling 50mg + promethazine 25mg twice, the patient said dizzy and refused to accept, in June 1981 suddenly herself