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患者男,75岁,因膝关节疼痛服炎痛喜康片20mg3次/天连服5天,感觉上腹部不适,出现柏油便停药。入院后持续柏油便,并多次少量呕血。BP70/50mmHg,贫血貌、嗜睡、烦躁、四肢厥冷,短阵抽搐,呼吸表浅,心音低弱。心率108次/分、Hb3.0g％、RBC106万/mm~3Pt18万/mm~3、网织红细胞19％、骨髓细胞学检查:增生性贫血;钡餐胃肠造影示胃下垂。无其它异常体征和疾病史。诊断上消化道出血,经抢救综合治疗,输血2400ml,痊愈。病程50天。炎痛喜康系新的非甾体消炎镇痛药,主要是抑制前列腺素的合成起到抗炎作
Male patient, 75 years old, due to pain in the knee Yan Tong Kang tablets 20mg3 times a day for 5 days, feeling unwell on the abdomen, the emergence of tar will stop. Asparagus will continue after admission, and many times a small amount of hematemesis. BP70 / 50mmHg, anemia appearance, drowsiness, irritability, extremities Jueleng, bradycardia, shallow breathing, weak heart sounds. Heart rate 108 beats / min, Hb3.0g%, RBC1060000 / mm ~ 3Pt180000 / mm ~ 3, reticulocyte 19%, bone marrow cytology: hyperplastic anemia; barium meal gastrointestinal angiography showed gastric ptosis. No other abnormal signs and disease history. Diagnosis of upper gastrointestinal bleeding, the rescued comprehensive treatment, blood transfusions 2400ml, healed. Duration of 50 days. Yikongxi Kang Department of new non-steroidal anti-inflammatory analgesic, mainly inhibiting the synthesis of prostaglandins play an anti-inflammatory