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患者,女性,38岁。因反复上腹饱胀,嗳气,恶心1年余。曾在当地医院按“胃炎”给予胃复安治疗好转。1月前感上腹隐痛,饱胀加重,来我院就诊。胃镜示:浅表性胃炎,幽门螺旋杆菌(++)。查体:T36.8℃,P80次/分,R20次/分,BP16/10kPa。发育正常,甲状腺无肿大,心肺(-)。给予吗丁啉10mg每日3次。约10天余感两乳房胀痛,增大。2天后出现泌乳,自动流出大量乳汁。检查:两乳房明显增大,未触及肿块,压痛明显。化验:T_3、T_4正常,蝶鞍头颅CT未见异常,立即停药,15天后上述症状逐渐消失。
Patient, female, 38 years old. Due to repeated upper abdominal fullness, belching, nausea more than 1 year. In the local hospital according to “gastritis” given metoclopramide treatment improved. A sense of upper abdominal pain, fullness increased to our hospital. Gastroscopy showed: superficial gastritis, Helicobacter pylori (++). Physical examination: T36.8 ℃, P80 beats / min, R20 beats / min, BP16 / 10kPa. Normal development, no enlargement of the thyroid, cardiopulmonary (-). Give domperidone 10mg 3 times a day. About 10 days I feel two breast pain, increased. 2 days after the emergence of milk, automatic outflow of large amounts of milk. Check: two breast increased significantly, not touched the mass, tenderness significantly. Laboratory tests: T_3, T_4 normal, sella cranial CT no abnormalities, immediate withdrawal, 15 days after the above symptoms gradually disappear.