论文部分内容阅读
双氯灭痛(双氯芬酸)是一种新型强效消炎镇痛药,为目前临床常用的药物,用量小,不良反应少且轻,该药引起肾损害少尿罕见,现报告2例如下.例1:患者女,74岁.因患扩张性心肌病,心功能不全8～9年多次住院.常年服用强心利尿等药物,病情稳定.1年前因腰扭伤疼痛,加服双氯灭痛25mg.服后即发现排尿次数及尿量减少,再次服25mg后,尿量更少,12h排尿160ml,同时出现腹胀、双下肢水肿加重.查尿蛋白(++),RBC:10～20/HP,及时停双氯灭痛,继续原药物治疗,36h后尿量逐渐恢复正常.改用颅痛
Diclofenac (diclofenac) is a new type of potent anti-inflammatory analgesic, commonly used in clinical medicine, with small dosage, less adverse reactions and light, the drug caused renal damage oliguria rare, are reported in 2 cases as follows. Example 1: patients Female, aged 74. Due to dilated cardiomyopathy, heart failure 8 to 9 years in many hospitals. Perennial cardiac cardiologists and other drugs, stable condition. 1 year ago due to lumbar sprain pain, plus serving of diclofenac 25mg. After serving Found that the number of urination and urine output decreased, again taking 25mg, less urine output, urination 160ml 12h, at the same time there abdominal distension, both lower extremity edema increased Check urinary protein (RBC): 10 ~ 20 / HP, , Continue the original drug treatment, urine output gradually returned to normal after 36h