Sandberg L, Siris S G
Department of Psychiatry, Mount Sinai School of Medicine, City University of New York, New York.
J Nerv Ment Dis. 1987 Oct;175(10):627-8.
A patient is described with operationally diagnosed chronic schizophrenia who simultaneously experienced repeated "attacks" during which times he had intense apprehension and autonomic hyperactivity entirely similar to that usually described under the rubric of "panic attacks" in nonschizophrenic patients. Delusional and hallucinatory symptoms were also transiently exacerbated during these episodes. Alprazolam, as an adjunct to fluphenazine decanoate, was effective in ameliorating these symptoms. Diagnostic and treatment implications are discussed.
描述了一名经手术诊断为慢性精神分裂症的患者，他同时经历了反复的“发作”，在此期间，他有强烈的恐惧和自主神经功能亢进，与非精神分裂症患者通常在“惊恐发作”标题下描述的完全相似。在这些发作期间，妄想和幻觉症状也会暂时加重。阿普唑仑作为癸酸氟奋乃静的辅助药物，可有效改善这些症状。讨论了诊断和治疗意义。
