论文部分内容阅读
例1:男,29岁,已婚。因性欲消失,阴茎不能勃起月余而就诊。8个月前由于上腹部疼痛经胃镜检查发现十二指肠球部溃疡,口服甲氰咪呱每次200mg,每日8次,饭时服,睡前再服400mg。服药1周,上腹部疼痛渐止,现仍在坚持服药。以往无药物过敏史。查体:T36°4C,Bp110/70mmHg,心肺听诊无异常,肝脾未及,四肢活动正常,两乳房发育较大,生殖器外观无异常。肛指前列腺不肿大,无触痛。化验:血、尿、便常规均在正常范围。粘液检查:灰白色,精子计数0.3亿/ml,活
Example 1: Male, 29 years old, married. Because of loss of libido, the penis can not erect for more than a month and treatment. 8 months ago due to upper abdominal pain by gastroscopy found duodenal ulcer, oral cimetidine every 200mg, 8 times a day, meal time service, and then take 400mg before going to bed. Taking medicine for 1 week, upper abdominal pain gradually stopped, is still insisting on taking medicine. No past history of drug allergy. Physical examination: T36 ° 4C, Bp110 / 70mmHg, cardiopulmonary auscultation no abnormalities, liver and spleen are not, limbs normal, two breast development, no abnormal genital appearance. Prostate does not enlarge the anal finger, no tenderness. Laboratory: blood, urine, they are routine in the normal range. Mucus check: Off-white, sperm count 0 million / ml, live