1例67岁女性患者因失眠症给予马来酸咪达唑仑7.5 mg,每晚睡前口服。治疗初期,患者入睡快,睡眠质量好。3个月后患者因睡眠不好自行加倍服药。2个月后,患者日间偶尔出现幻听,夜间梦游频发,伴谵妄和躁动。停用马来酸咪达唑仑,给予多塞平25 mg,每晚口服。2周后随访,梦游及谵妄消失。 One 67-year-old female patient was given midazolam 7.5 mg for insomnia and was taken orally each night before going to bed. Early treatment, patients fall asleep fast, good quality sleep. Three months later, the patient doubles because of poor sleep. After 2 months, patients occasionally appear auditory hallucinations during the day, frequent night-time sleepwalking, with delirium and agitation. Midazolam maleate was discontinued and given doxepin 25 mg orally overnight. Follow-up after 2 weeks, sleepwalking and delirium disappeared.