论文部分内容阅读
消炎痛临床用途越来越广,其胃肠副作用临床较为常见,由其引起精神病临床少见,笔者遇一例,报道如下,供同道参考。某女,40岁,以“尿痛伴血尿一周”收住。既往有肾炎史,无精神病史及家族史。入院查:P76次/分,BP18/12kPa,神志清,精神好,双侧脊肋角压痛,双侧肾区叩痛,双下肢浮肿(+),尿蛋白(++),红细胞(++),按肾炎治疗两周后尿蛋白(++),加用消炎痛50mg,一目三次,第一次服4小时后出现胡言乱语、答非所问,幻视、幻听、定向力及计算力明显障碍,考虑消炎痛所致。仅停用消炎痛未给特殊处理,观察一天恢复如常。
Indomethacin more and more widely used in clinical, the more common clinical side effects of gastrointestinal, mental illness caused by its rare, I met a case, reported as follows, for fellow reference. A woman, 40 years old, with “painful urination with hematuria a week” admitted. Past history of nephritis, no history of mental illness and family history. Admission examination: P76 beats / min, BP18 / 12kPa, clear consciousness, good spirit, bilateral ridge angle tenderness, bilateral renal area percussion pain, both lower extremity edema (+), urinary protein ), According to nephritis after two weeks of urinary protein (++), plus indomethacin 50mg, three times a day, the first service after 4 hours of nonsense, non-questioning, visual hallucinations, auditory hallucinations, directional and computational power significantly Obstacles, due to indomethacin. Indomethacin alone was not given special treatment to observe the day returned to normal.