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患者男,47岁。因诊为慢性活动性乙型肝炎而于1994年6月18日入院。既往无药物过敏史。入院后给予强力宁加于10％葡萄糖中静脉滴注,每次100mg,每日2次;并予肝泰乐、心肝宝、维生素C、肌苷、齐墩果酸片口服。7天后患者出现上腹不适及柏油样黑便。临床考虑为应急性溃疡或药物所致上消化道出血。遂停用强力宁,余药不变,每日静滴西咪替丁0.4g,3天后大便转黄,OB阴转,肝功能渐复常,黄疽消退出院。 间隔3月后因肝脏疾患来院门诊复治。因接诊者不知患者不宜用强力宁,而又予强力宁100mg加入10％葡萄糖500ml静滴,用药后半小时患者即感上腹不适,4小时后出现柏油样黑便,查OB为强阳性。立即
Male patient, 47 years old. Admitted to hospital on June 18, 1994 due to chronic active hepatitis B. Past history of drug allergy. After admission to give a strong Ning added 10% glucose in intravenous drip, each 100mg, 2 times a day; and liver Tailor, heart and liver Po, vitamin C, inosine, oleanolic acid tablets oral. After 7 days, the patient developed abdominal discomfort and black stools. Clinical consideration for acute ulcer or drug-induced upper gastrointestinal bleeding. Then disable strong Ning, remaining unchanged, daily intravenous cimetidine 0.4g, 3 days after the stool turn yellow, OB negative turn, gradually progressive liver function, jaundice dissipated discharged. After an interval of 3 months due to liver disease hospital outpatient retreatment. Due to the admissions I do not know patients should not use strong Ning, but also to force Ning 100mg 10% glucose 500ml intravenous infusion, half an hour after treatment that patients with abdominal discomfort, asphalted black stools after 4 hours, check OB is strongly positive . immediately