患者男,27岁,农民。因少眠,烦躁,胡言乱语,冲动外跑1月余在我院门诊治疗。服用氯丙嗪2个月,疗效欠佳,且精神症状日渐加重,于1977年8月9日住院治疗。患者既往身体健康,否认精神病阳性家族史。入院时躯体检查无明显异常。测体温36.7℃,血压16.5/10.5kpa,P82次/分,R20次/分,胸透及心电图均未显示异常。血常规、尿常规,肝功结果无异常。精神检查:意识清楚,定向力完整;思维松驰,内容散漫,与之交谈困难;情感不稳定,偶有冲动外越行为;自知力缺乏。进入病室后10 Male patient, 27 years old, farmer. Due to lack of sleep, irritability, nonsense, impulse outside the hospital for more than one month in our outpatient treatment. Taking chlorpromazine for 2 months, the efficacy was poor, and the mental symptoms worsened. He was hospitalized on August 9, 1977. The patient was previously physically healthy and denied a positive family history of psychosis. There was no apparent abnormality in physical examination on admission. The body temperature was 36.7°C, the blood pressure was 16.5/10.5kpa, P82 beats/min, R20 beats/min, chest X-ray and electrocardiogram showed no abnormalities. Blood routine, urine routine, and liver function results were normal. Psychiatric examination: Clear consciousness, complete orientation; loose mind, loose content, difficulty in talking with him; emotional instability, occasional impulsive foreign exchange; lack of insight. After entering the ward 10