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患者男性,47岁,已婚,炊事员,平素健康,因左臀部、大腿疼痛7天,初诊为“左坐骨神经痛”。于1992年1月11日入院。入院前在某基层医院肌注青霉素G5天,80万U 每日2次,自服“克痛片”4次共4片,无腹痛等不适。以往曾多次使用青霉素和克痛片无异常反应。无溃疡病史和肝脏疾病史。入院当天给予口服消炎痛片25mg 每日3次。入院次日(共服药3次)上厕所时突然晕倒、抽搐,大便失禁,排出大量柏油样大便约2000ml,面色苍白,皮肤湿冷,脉细弱,血压6/3kPa。认为因服消炎痛引起上消化道太出血休克。即停用消炎痛,静滴甲氰咪呱、止血苯酸,快带输入糖盐液体和同型血800ml。第2
Male patient, 47 years old, married, cook, usually healthy, due to left hip, thigh pain for 7 days, newly diagnosed as “left sciatica”. January 11, 1992 admission. Before hospital admission in a grass-roots hospital muscle penicillin G5 days, 800,000 U 2 times a day, self-service “grams of painkillers” 4 times a total of 4, no abdominal pain and other discomfort. In the past have repeatedly used penicillin and grams of painkillers no abnormal reaction. No history of ulcer and history of liver disease. On the day of admission given oral indomethacin tablets 25mg 3 times a day. Admission the next day (a total of 3 times taking the medication) suddenly fainted when the toilet, convulsions, fecal incontinence, discharge a lot of tarry stool about 2000ml, pale, wet skin, pulse weak, blood pressure 6 / 3kPa. Because of anti-inflammatory analgesia caused by upper gastrointestinal hemorrhage shock. Indiscriminate deactivation, intravenous infusion of cimetidine, peracetic acid, fast with sugar and salt into the liquid and blood 800ml. 2nd