据报告,氟西汀的常见副反应有焦虑、头痛和失眠。本文报道1例病人,在用该药治疗期间出现自发性出血,引起了青肿和月经过多。停药后,这些症状得到改善,再用,又出现,表明氟西汀与此副反应有关。患者,女,40岁,持续数月表现失眠、焦虑、自杀观念和厌食。治疗前,实验室和体检均正常。患者以往身体健康,无家族或个人出血障碍史。用氟西汀20mg/d,渐增至60mg/d,效果良好。但在开始治疗的那个月末,患者发现月经量多,持续数天。2个月后,患者出现 Common side effects of fluoxetine have been reported as anxiety, headache and insomnia. This article reports 1 patient, during the treatment of spontaneous bleeding, causing bruising and menorrhagia. After discontinuation of these symptoms have been improved, reused, appeared again, indicating that fluoxetine and the side effects. Patient, female, 40 years old, shows insomnia, anxiety, suicidal ideation and anorexia for months. Before treatment, laboratory and physical examination were normal. In the past, the patient was healthy and had no history of family or personal bleeding disorders. With fluoxetine 20mg / d, increasing to 60mg / d, the effect is good. However, at the end of the month beginning treatment, the patient found that the amount of menses was increased for several days. Two months later, the patient appeared