我院最近收治1例风湿性精神病,现报告于下并略加讨论。病例介绍陈×,女,15岁,学生。痴呆、精神错乱一周于1979年4月19日入本院。入院前2月曾“神经失常”一次,历时10天,经当地治疗而愈。这次发病前无明显精神刺激因素,起病于1979年4月初,开始感觉咽痛、关节酸痛、乏力、心悸,一周后,突然精神恍惚,继之胡言乱语,情绪紧张,自称大队干部会来抓她,家中亲人也不能辨认,生活无法自理。一般体检,体温38.2℃,脉搏134次/分,心尖部听及Ⅰ～Ⅱ°收缩期杂音,关节无明显红、肿、 I recently admitted to a hospital rheumatic mental illness, the report is now under and slightly discussed. Case description Chen ×, female, 15 years old, student. Dementia, insanity one week in April 19, 1979 into our hospital. February before admission had “neurological disorders” once, which lasted 10 days, the more the local treatment. Before the onset of no significant mental stimulus, the onset in early April 1979, began to feel sore throat, joint pain, fatigue, palpitations, a week later, suddenly trance, followed by nonsense, emotional stress, claiming to brigade cadres will To catch her, the family can not identify their loved ones, life can not take care of themselves. General physical examination, body temperature 38.2 ℃, pulse 134 beats / min, apical hearing and Ⅰ ~ Ⅱ ° systolic murmur, joint no obvious red, swollen,