患者男，42岁。因“凭空闻声、自语、懒散5年，加重1个月”入院，曾诊断为精神分裂症，接受氟哌啶醇、舒必利、利培酮治疗，但症状时轻时重，一直未获完全缓解，目前仍服用利培酮2mg/d。既往史阴性，性格内向，做事认真、固执。家族中无类似病史。
此时，可供选择的治疗方案有（）
A.合并碳酸锂增效
B.合并氟西汀
C.合并另外一种不同作用机制的抗精神病药
D.增加现用抗精神病药物的剂量，进行超剂量冲击治疗
E.换用氯氮平治疗
F.换用奥氮平治疗
G.换用喹硫平治疗
H.电休克治疗
参考答案：A, C, E, F, G, H
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| When your kids were six or seven, you sent them to school.Did you ever wonder what goes through a teacher's_1_as he or she tries to teach your kids?Did you ever wonder what the teacher 3 from you, the parents? Parents can be_3_or suspicious.They can be of great help to the teacher_4_ be in need of help themselves.Some teachers think parents are too 5 on their children.Here is 6 one teacher puts it. "I usually have the 7 of parents coming in and 8 me how much they care about the kids'education and how they really 9 their kids.They tell me they stand and 10 them closely when they do their homework.Sometimes they 11 offer help with the kids'lessons as if they were teachers.They check their school work, and are too sensitive to 12 . They blame the kids on everything having to do 13 school.When a parent asks me how his or her kid is getting on in my class, my answer usually is"Well, you know, he is__14_ a good kid.He is fine in my class.Maybe you don't have to be so 15 with your kid." Teachers want parents to know that they are professionals at 16 with children.They have 17 many children and even parents.Because of this, teachers can be 18 at educating children.Teachers are 19 that parents want their children to do well, but they know more about what children should be able to do at different ages and 20 . | ||||
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