PowerPoint

2012.9.201Treiz

60-100ml

NSAIDs500ml10%100/100mmHg7501250ml1525%100120/80100mmHg12501750ml2535%12080mmHg2500ml50%1520%2050%50100%100%2477080 30.342.4 7.623.0 AGML10% 10 1.86.8 Mallory-Weiss2.16.4

5

2030 4.031.9 4.025.4 3.321.9 2.818.5 0.417.4 3.412.5 1.87.98910 H.pylori

Nonsteroidal anti-inflammatory drugs:NSAIDNSAID2NSAIDNSAIDNSAID12NSAID

1430%

5.9%518%

5.3%63.1%15.5%

14.9%1.9%

3.9%42.6%: CLINICIAN NO.576, 2009 13

NSAIDNSAIDNSAIDCOX-1COX-2PGA2COX-2PG

508NSAIDH.pyloriNSAIDH.pylori9819.3%H.pylori32764.4%NSAIDH.pylori22945.1%NSAIDH.pylori11021.6%NSAIDH.pylori7114.0%NSAID20840.9%200212009128508NSAIDNSAIDNSAID2NSAIDNSAIDNSAIDNSAIDNSAIDNSAID, , 51, 2010.1616470HPIgG30965.7NSAID18739.86814.4

5086512.8%183.5%NSAID12524.6%NSAID30059.1%, , 51, 2010.171746113.2NSAID22.8153.315

50823220022005)276(20062009)14351.8%7627.5%145.1%4315.6%15767.7%4921.1%41.7%229.5%, , 51, 2010.181846113.2NSAID22.8153.315NSAID208243191812087635.5%NSAIDNSAID208NSAID(300508NSAIDp(6518(125)*73.711.775.110.970.512.662.417.366.316.1