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萘普生致上消化道大出血尚未见报道,我院遇见一例,现报告如下: 男,59岁,因黑便18h,于1984年12月20日急诊入院。患者于20年前始患类风湿性关节炎,曾服用强的松、地塞米松、消炎痛、昆明山海棠等,关节症状时起时伏。于1984年11月29日停用上述药物,改服萘普生0.4g,tid。服至第21d时感心谎、头昏、眼花、冷汗,晚6时上厕所大便,昏到厕所内,当时家属发现大便柏油色,约500g。继后又解黑便四次,每次量约300-400g,来院急诊。74年开始有胃痛,76年及81年胃肠钡餐证实为“十二指肠球部溃疡”。84年8月曾解黑便2次,经休息、服胃舒平后好转。
Naproxen has not been reported on the upper gastrointestinal bleeding, our hospital met a case, are as follows: Male, 59 years old, due to black then 18h, on December 20, 1984 emergency admission. Patients with rheumatoid arthritis began 20 years ago, had taken prednisone, dexamethasone, indomethacin, Kunming Begonia, etc., when the onset of symptoms of ambush. On November 29, 1984 disable the above drugs, change clothes naproxen 0.4g, tid. To the first 21d feeling lied, dizziness, vertigo, cold sweat, 6 o’clock toilet stool, fainted in the toilet, when the families found that stool asphalt, about 500g. Then black solution then four times, each about 300-400g, to hospital emergency room. 74 years of stomach pain, 76 years and 81 years of gastrointestinal barium meal confirmed as “duodenal ulcer.” August 84, once black solution 2 times, by rest, service stomach Shu-ping improved.