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患者女,30岁,已婚生有1女,因胃脘痛、腹胀而服吗丁啉片。每天3次,每次10mg,连服2 周症状有所减轻。停药后当月未见来月经而前来就诊。患者自诉平素月经正常,已放环多年,疑避孕失败。查尿HCG(-),给予每天肌注黄体酮20mg,连用3天。用药1周后亦未见来月经。再查尿HCG(-),血β-HCG(-),排除早孕。后经服用中药汤剂调理而来月经。此距上次月经已有65天。随访半年月经正常如初。 吗叮啉又名多潘立酮,是新一代胃动力药。它可拮抗外周多巴胺受体,直接作用于胃肠壁,可增加食道下部括约肌张力,增强胃蠕动,促进胃排空,协调胃与十二指肠运动。常用于肠胃胀气和消化不良。由
Female patient, 30 years old, married with 1 female, because of stomachache, abdominal distension and serving morphine tablets. 3 times a day, each time 10mg, even for 2 weeks to relieve symptoms. After the withdrawal did not see the month to come to treatment. The patient sued normal menstruation normal, has been put ring for many years, suspected contraception failure. Check urine HCG (-), given daily intramuscular progesterone 20mg, once every 3 days. After 1 week medication did not see menstruation. Check urine HCG (-), blood β-HCG (-), excluding early pregnancy. After menstruation with traditional Chinese medicine decoction. This has been 65 days since the last menstruation. Follow-up six months menstrual normal as ever. Domperidone, also known as domperidone, is a new generation of gastric motility drug. It can antagonize the peripheral dopamine receptors, a direct role in the gastrointestinal wall, can increase the lower esophageal sphincter tension, increase gastric motility, promote gastric emptying, stomach and duodenal movement coordination. Commonly used in flatulence and indigestion. by