患者,男,30岁,已婚,(住院号4282),因发呆、少言1月,猜疑、言行紊乱4天而于1999年10月7日首次住院。既往健康,无糖尿病及其他家族遗传病史,入院躯体及实验室检查正常。精神检查:意识清,定向完整,接触一般。有幻听,有被害、关系、影响妄想,有被控制体验,情绪不稳,情感平淡,自知力无。诊断为分裂样精神障碍。予利培酮(最高量3mg/日)治疗24天,病情好转出院。9天后因猜疑等症状复现再次入院。11 Patient, male, 30 years old, married (hospital number 4282), was hospitalized for the first time on 7 October 1999 due to a daze, few words of January, suspicion and deformity of words and deeds for 4 days. Past health, no diabetes and other family history of genetic, physical examination and laboratory admission were normal. Mental examination: clear consciousness, complete orientation, general contact. There are auditory hallucinations, there are victims, relationships, affect paranoia, have been controlled experience, emotional instability, emotional flat, no knowledge. Diagnosis of schizoaffective disorder. Risperidone (maximum 3mg / day) for 24 days, the condition improved discharge. 9 days later due to suspicion and other symptoms again admitted to hospital. 11