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“我想买消炎痛”

来源:《中国医药报》 作者: 2007-6-1

摘要: Shop assistant: Hello。顾客:我想买两盒消炎痛,这里有吗。Shop assistant: Yes, is itfor you。我知道有一位女性患者,也曾大量用消炎痛来治疗偏头痛,结果,那位女士出现了全身无力、口干舌燥、体重减轻、关节疼痛的症状,同时小便增加,夜间更加严重,经诊断为“止痛药性肾损害”。...



  店员:您好,请问我能给您提供什么帮助?
  Shop assistant: Hello! Can I help you?
  顾客:我想买两盒消炎痛,这里有吗?。
  Potential customer: Do you have indomethacin?
  店员:有。是您用吗?
  Shop assistant: Yes, is itfor you?
  顾客:是,我偏头痛,难受得不行。我一般头疼时就吃一片,吃完就管事。
  Potential customer: Yes. I have migraine. It''s very painful, and Ihave to take an indomethacin tablet when I suffer an attack.
  店员:止痛药对人体有治疗作用,但不良反应也不少。没经医生指导,千万不可随便用药,随便加大剂量,或任意延长服药时间。我知道有一位女性患者,也曾大量用消炎痛来治疗偏头痛,结果,那位女士出现了全身无力、口干舌燥、体重减轻、关节疼痛的症状,同时小便增加,夜间更加严重,经诊断为“止痛药性肾损害”。
  Shop assistant: Analgesics bring relief. But they also have seriousside effects if taken over a long period.So one should not take them withouta doctor''s advice. I heard that a woman suffered renal damage after takinganalgesics in large doses to treat her migraine pain. She lost a lot ofweight, suffered a nonnasal inflammation and had pain in her joints. Besides, she passed urine more than a normal human, with the problem becomingespecially serious at night.
  顾客:太可怕了,那止痛药还有别的种类吗?
  Potential customer: It''s terrible! Can the side effects be even moreserious?
  店员:目前,止痛药大体可分三类,什么情况下使用什么样的止痛药,是很有“讲究”的。一种是解热止痛抗感染药。常用的有阿司匹林、消炎痛、保泰松、扑热息痛等,止痛作用比较弱,虽没有成瘾性,但如果用法不当,也会造成不必要的损害;另一种是中枢性止痛药,以曲马多为代表,是人工合成的中枢性止痛药,它的止痛机制与阿片类药不完全相同,所以被列为非麻醉性止痛药,主要用于中等程度的各种急性疼痛及手术后疼痛等;还有一种是麻醉性止痛药,以吗啡、杜冷丁等阿片类药为代表。这类药物止痛作用很强,但反复使用会成瘾。
  Shop assistant: There are three types of analgesics, each used in different situations. One is anti-inflammatory and ant rheumatic, suchas aspirin, indomethacin, phenylbutazone and acetaminophen, which are not so strong. Although addicted is rare, their misuse could harm a person. The other type is centrum analgesic,such as tramadol - medicines of artificial synthesis - used to relieve the pain after a surgery. It''s classified as non-narcotic analgesic because its mechanism different from opioids, or opium-based medicines. The last type is narcotic analgesicssuch as morphines and pethidines, which are strong medicines, and a person could getaddicted to them if he takes them repeatedly.
  顾客:既然这样,我想我还是去医院做一下检查,听听医生的建议为好。
  Potential customer: Well, I think I''d better go to a hospital to seek a doctor''s advice.
  店员:希望您尽快康复。再见!
  Shop assistant: Wish you a fast relief from your migraine. Bye!
  顾客:谢谢!再见!
  Potential customer: Thank you! Bye! (赵喜君 华铮 王立峰)

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