论文部分内容阅读
患者男性,58岁。因腰部及左下肢疼痛,于1983年3月18日在某医院诊断为腰椎骨质增生症,内服炎痛喜康20mg,每日1次。患者误服为每日3次,每次20mg。服药第4天即感上腹不适,故自动停药。嗣后症状逐渐加重,相继出现上腹钝痛、烧灼样痛及剧烈疼痛。3月30日因上腹疼痛剧烈,伴恶心及呕吐胃内容物而急诊收住我院。体检:体温36.8℃,脉搏76次,血压120/80(腹痛剧烈时为170/96)。神志清,痛苦病容。心肺
Male patient, 58 years old. Due to lower back and lower extremity pain, on March 18, 1983 in a hospital diagnosis of lumbar osteoporosis, internal control Yan Tong Kikang 20mg, 1 day. Patients were served three times a day, each 20mg. The first 4 days of medication that feeling upper abdominal discomfort, it automatically discontinued. Subsequent symptoms gradually increased, one after another dull upper abdominal pain, burning pain and severe pain. March 30 due to severe abdominal pain, with nausea and vomiting of stomach contents and emergency room admitted to our hospital. Physical examination: body temperature 36.8 ℃, pulse 76 times, blood pressure 120/80 (170/96 when severe abdominal pain). Conscious, painful illness. Heart and lungs