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1例48岁女性患者,因椎间盘突出伴右臂疼痛静脉滴注头孢曲松钠3g,1次/d,尼美舒利分散片0.1g,2次/d口服,复方氯唑沙宗2片,3次/d口服。用药5d后,患者出现恶心、呕吐、腹痛等症状。停用所用药物,给予莫沙比利、胃炎颗粒治疗4d无缓解,以腹痛待查入院。腹部超声检查:胆囊内约1.8cm×0.9cm泥沙样强回声光斑,肝内、外胆管未见扩张,考虑胆囊结石与头孢曲松钠有关。给予抗酸、解痉等对症治疗,7d后胆囊结石明显缩小,遂出院。1个月后超声复查未见结石。
A 48-year-old female patient was treated with intravenous ceftriaxone sodium 3g, once / d, nimesulide dispersible tablets 0.1g twice daily and oral dipyridamole 2 tablets , 3 times / d orally. 5d after treatment, patients with nausea, vomiting, abdominal pain and other symptoms. Suspension of the drugs used to give mosapride, gastritis particles 4d no relief to be admitted to hospital pending abdominal pain. Abdominal ultrasound examination: about 1.8cm × 0.9cm in the gallbladder sand-like strong echo spots, no expansion of the liver and external bile duct, consider gallstone and ceftriaxone related. Given antacid, antispasmodic and other symptomatic treatment, 7d after gallstone was significantly reduced, then discharged. 1 month after ultrasound review no stones.