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患者,男性,34岁,已婚,自幼发育正常,智能尚可,性格内向,于34岁时无明显诱因急性起病。表现胆小、孤僻、被动、懒散,自言自语。精神状态:情感平淡,有幻听,有被监视感,被控制感,意向减低,无自知力。体检:身长170cm,体重57kg,身体发育正常。外貌未见异常,EEG(-)、EKG(-)、B型超声:肝脾尚未见异常。血常规(-)。X光胸透(-)。个人史及家族史无特殊发现。诊断为精神分裂样精神病。细胞遗传学检查:采用外周血淋巴细胞培养,染色体经G显带技术分析,镜下计数50个中期分裂相均发现有一异常14号染色体,其特征为长臂正常,短臂明显增大,其长度和宽度近似长臂,但着色较浅,没有带纹,经核仁形成区银染技术确认这条14号染色体增大部
Patient, male, 34 years old, married, normal development at an early age, intelligent still, introverted, no significant predisposition to acute onset at 34 years of age. Performance of timid, withdrawn, passive, lazy, self-talk. Mental state: emotional flat, with auditory hallucinations, a sense of being monitored, being controlled, intention to reduce, no self-knowledge. Physical examination: length 170cm, weight 57kg, physical development is normal. No abnormal appearance, EEG (-), EKG (-), B ultrasound: no abnormal liver and spleen. Blood routine (-). X-ray chest through (-). Personal history and family history no special discovery. Diagnosed as schizophreniform psychosis. Cytogenetic examination: using peripheral blood lymphocyte culture, the chromosome G banding technology analysis, microscopy counting 50 mid-mitotic phase were found to have an abnormal chromosome 14, characterized by long arm normal, the short arm was significantly increased, its The length and width of the approximate long arm, but less colored, there is no pattern, confirmed by the nucleolar area silver staining technology to increase the Department of chromosome 14