例1:男性,57岁,干部。因对职务调整不满,出现情绪低落,想死,继而出现兴奋话多,不眠半月入院。入院诊断:情感性精神病躁狂状态。血生化及常规检查无异常。既往无糖尿病史,其父因糖尿病死亡。给予氯丙嗪静滴50～75ｍｇ/ｄ,5天后,兴奋症状明显控制而停用氯丙嗪,改用氯氮平和锂盐口 Example 1: Male, 57 years old, cadre. Dissatisfaction due to job changes, there was depression, want to die, then there are many words of excitement, sleepless months admitted to hospital. Admission diagnosis: emotional state of mental mania. No abnormal blood biochemistry and routine examination. Past history without diabetes, his father died of diabetes. Give chlorpromazine intravenous drip 50 ~ 75mg / d, 5 days later, the excitement symptoms were significantly controlled and discontinued chlorpromazine, switch to clozapine and lithium salt mouth