散发性脑炎以精神异常为首发症状,其部分病例的临床表现酷似精神分裂症,故有时易被误诊.我院自1981～1990年以来,有39例散发性脑炎患者被误诊为精神分裂症,几经辗转周折才得以确诊,现分析讨论如下.临床资料本组男32例,女7例.年龄16～60岁,其中30～40岁占52.7%.首发症状:在本组39例中首发兴奋、多语、多动13例,忧郁、寡言、孤僻18例,痴呆、傻笑8例.延误诊断时间:误诊1～3天16例,4～6天19例, Sporadic encephalitis with mental disorders as the first symptom, the clinical manifestations of some cases resembles schizophrenia, it is sometimes easily misdiagnosed in our hospital since 1981 to 1990, 39 cases of sporadic encephalitis patients were misdiagnosed as schizophrenia Disease, only after several twists and turns were diagnosed, the analysis is as follows.Clinical data The group of 32 men and 7 women, aged 16 to 60 years old, of which 30 to 40 years old accounted for 52.7% of the initial symptoms: 39 cases in this group The first episode excited, multilingual, hyperactive 13 cases, melancholy, widowed, withdrawn in 18 cases, dementia, giggling in 8. Delayed diagnosis time: misdiagnosed 1 to 3 days in 16 cases, 4 to 6 days in 19 cases,