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肾绞痛是临床常见的急症,目前认为系肾盂内压急剧升高、肾盂或输尿管平滑肌强烈收缩的结果,临床上常用解痉剂如阿托品,以及麻醉剂如度冷丁等治疗,但易出现口干、腹胀与成瘾性等不良反应或效果欠佳。随着人们对药物的进一步了解和对疼痛机制认识的深入,有许多老药用于治疗肾绞痛,并获得良效。现结合我们的临床体会及有关资料,谈谈肾绞痛时的药物应用。 1 消炎痛 消炎痛是解热镇痛药,它能抑制体内合成前列腺素所需的环氧酶,阻止肾内前列腺素
Renal colic is a common clinical emergency, is currently considered Department of renal pelvis pressure increased sharply, renal pelvis or ureteral smooth muscle strong contraction results commonly used in clinical antispasmodic agents such as atropine, and anesthetics such as meperidine treatment, but prone to dry mouth , Bloating and addiction and other adverse reactions or poor results. As people learn more about the drug and understanding of the pain mechanism, there are many old drugs used to treat renal colic and achieve good results. Now combined with our clinical experience and related information, talk about the drug application of renal colic. Indomethacin Indomethacin is an antipyretic and analgesic, which inhibits the cyclooxygenase required for the synthesis of prostaglandins in the body and prevents intrarenal prostaglandin