临床上闭角型青光眼病人有急性胃肠痉挛性腹痛时,虽不常见,但处理很矛盾。阿托品类药物可解除胃肠平滑肌痉挛,但散大瞳孔,可加重房角闭塞,使眼压升高,以致病情加剧,为青光眼病人之大忌。遇此情况可选用硝苯吡啶10mg咬碎后舌下含服,5分钟可缓解,对胃肠痉挛性腹痛有效率达90％ Clinic patients with angle-closure glaucoma have acute gastrointestinal spastic abdominal pain, although not common, but the treatment is very contradictory. Atropine drugs can relieve gastrointestinal smooth muscle spasm, but dilated pupils, can increase the angle occlusion, so that increased intraocular pressure, resulting in aggravating conditions, for the taboo of glaucoma patients. In this case can choose nifedipine 10mg sublingual sublingual, 5 minutes to ease, the effective rate of gastrointestinal spastic abdominal pain 90%