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病毒性脑炎有相当一部分病例是以精神异常为首发症状,我们在临床工作中遇到1例“病毒性脑炎”曾误诊为“癔症性精神病”,报告如下。 患者男性,32岁,2天前患者与妻子吵架后突感恶心,随即摔倒在地,全身痉挛性发作,约10余分钟后上述症状缓解,随后出现兴奋不安,大吵大闹,打自己的妻子,夜间少眠,行为紊乱、幼稚。于1998年4月10日入院,家族中二系三代无精神病史,病前性格较外向,喜自我表现及感情用事。
A considerable part of viral encephalitis is based on mental disorders as the first symptom, we encountered in clinical work in a case of “viral encephalitis” has been misdiagnosed as “Hysteric psychosis”, the report is as follows. Male, 32 years old, 2 days before the patient quarrel with his wife suddenly felt nausea, then fell to the ground, the body spasm attack, about 10 minutes later, the above symptoms ease, followed by excitement, loud noise, hit their own The wife, sleepless at night, disorderly behavior, naive. On April 10, 1998 admitted to the hospital, two or three generations of family history of non-mental illness, premorbid personality is more outgoing, hi self-expression and emotional things.