论文部分内容阅读
病历摘要:女患,53岁。以心悸、气短、水肿、少尿半月入院。于20年前惊吓后突然摔倒伴意识丧失及尿、便失禁,持续5～6分钟,自然缓解。此后间断发作,严重时每日发作4～5次,偶有发作性手足搐搦。多次就医均诊为癫痫,未经系统治疗。10年前因视力下降诊为双眼白内障而施右眼手术。近2年持续服用癫痫散癫痫样发作减少。近3个月有幻听、被害妄想而住入精神病院,经抗精神病治疗后症状略减。半月来感冒后以充血性心力衰竭住入本院。
Medical record summary: female patient, 53 years old. To palpitations, shortness of breath, edema, oliguria half-hospital. Suddenly fell over 20 years ago with a sense of loss and urine loss, they incontinence, sustained 5 to 6 minutes, natural relief. Intermittent seizures, severe seizures 4 to 5 times a day, occasional episodes of tetany. Multiple medical consultations for epilepsy, without systematic treatment. 10 years ago due to vision loss as binocular cataracts and right eye surgery. Nearly 2 years of epilepsy epileptic seizures continue to take less. Nearly three months have auditory hallucinations, murdered delusions and lived in mental hospitals, symptoms after antipsychotic treatment slightly reduced. Half a month after a cold to congestive heart failure admitted to this hospital.