2 cases of peptic ulcer related treatment of angina pectoris.docVIP

 PAGE \* MERGEFORMAT 7 2 cases of peptic ulcer related treatment of angina pectoris [Keywords:] treatment of peptic ulcer-related angina A medical record Example 1, female, 72 years old, coronary heart disease 4 years. Patients have the typical “angina” symptoms and characteristics of the ECG changes, has repeatedly hospitalized, her condition improved and was discharged home, usually intermittent oral “Lunan HEART , CSDP “(dose unknown) to maintain, good times and bad symptoms. The result,” intermittent chest pain increased 3 days “on August 30, 2006 admission. Past history: chronic superficial gastritis history of 2 years; more than 30 years history of rheumatoid arthritis, chronic oral non-steroidal anti-inflammatory drugs to maintain. examination: blood pressure 130/80mmHg, heart rate 70 times / min, coarse breath sounds lungs, heart rate 70 times / min, heart sounds Low blunt, regular rhythm, did not hear the valve auscultation area and pathological murmurs, abdomen flat, soft, tenderness under xiphoid positive, I was no exception. auxiliary examination, ECG: sinus rhythm, no axis deviation, , , aVF lead ST segment depression 0.075 ~ 0.1mV, blood, urine and chest revealed no abnormalities. diagnosis of “coronary heart disease, angina-type”, given to improve myocardial blood supply, anticoagulation, crown expansion, symptomatic treatment more than 10 days, patients still paroxysmal chest pain, weight to the lower back and left shoulder when the elution, with Services “nitroglycerin” obvious relief, pain onset, no significant changes in ECG. in the first 14 days after admission for gastric microscopic examination showed: body junction of the greater curvature side of antrum see a 2.5cm 1.5cm long strip furrow ulcers. the surface with dirty fur, edge congestion and edema, was dike-like changes, clear boundaries with the surrounding tissue. take the time pathology crisp and easy bleeding, histologic findings return: mucosa with mild dysplasia and ch