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例1 肾腔损害。男,58岁,工人,1987年12月8日就诊。患者因多年周身关节疼痛,于就诊前3日内共计服用炎痛喜康360mg(每次40mg,每日3次)。服药后第3天开始出现头晕、疲乏、胸闷、腰部疼痛、面部及下肢浮肿、尿呈茶色、混浊和无痛性肉眼血尿来就诊。尿液检查:蛋白++,红细胞+++,颗粒管型少许。处理:嘱病人立即停药,并给予止血和抗过敏药物。短期内出血症状消失,停药20日后尿检正常。例2 上消化道出血。女,49岁,干部,1990年10月13日就诊。患者有风湿性关节炎病史10余年,于近日因关节疼痛加重,在1日内服用
Example 1 Kidney damage. Male, 58 years old, worker, December 8, 1987. Patients for many years because of joint pain, take a total of 3 days prior to treatment of Yan Tong Kang 360mg (40mg each time, 3 times a day). Dizziness, tiredness, chest tightness, lower back pain, swelling of the face and lower extremities, dizziness of the urine, brown, cloudy and painless gross hematuria began to appear on the third day after taking the medicine. Urinalysis: protein ++, red blood cells +++, a little granular tube. Treatment: Instruct the patient to stop treatment immediately and give hemostasis and anti-allergy medicine. Short-term bleeding symptoms disappear, urine test 20 days after stopping normal. Example 2 upper gastrointestinal bleeding. Female, 49 years old, cadre, October 13, 1990 treatment. Patients with a history of rheumatoid arthritis more than 10 years, recently due to increased joint pain, taken within 1 days