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硝苯吡啶(心痛定、硝苯啶)系血管扩张剂,常用于治疗冠心病、高血压及心力衰竭等。常见副反应为低血压、恶心、呕吐、面部潮红等,近见1例引起消化道出血者报道如下。患者 男,39岁。阵发性胸闷、心悸半年加重2天,于1990年4月5日入院。病前无诱因,无高血压、心脏病史。体检:体温36.5℃,脉搏104次,呼吸20次,血压19.2/12kPa(144/90mmHg)。心肺无异常。心电图示心肌缺血。超声心动图未见异常。X线无异常改变。血常规:白细胞4.8×10~9/L,红细胞4.1×10~(12)/L,血红蛋白138g/L,
Nifedipine (nifedipine, nifedipine) vasodilators, commonly used in the treatment of coronary heart disease, hypertension and heart failure. Common side effects of hypotension, nausea, vomiting, facial flushing, etc., a recent case of gastrointestinal bleeding were reported as follows. Male patient, 39 years old. Paroxysmal chest tightness, palpitations increased for two days six months, in April 5, 1990 admission. No incentive before illness, no high blood pressure, history of heart disease. Physical examination: body temperature 36.5 ℃, pulse 104 times, breathing 20 times, blood pressure 19.2 / 12kPa (144 / 90mmHg). No abnormal heart and lung. ECG shows myocardial ischemia. Echocardiography no abnormalities. X-ray no abnormal change. Blood: white blood cells 4.8 × 10 ~ 9 / L, red blood cells 4.1 × 10 ~ (12) / L, hemoglobin 138g / L,