吡罗昔康(Piroxicam)系苯噻嗪类的一种消炎、解热、镇痛药。其优点是用药剂量小,作用持续时间长。每日只服1次,每次20mg,短期服用副作用少。临床上最常见的不良反应是胃肠道反应。引起肝功能损害较少见,本文病例报告如下。1 病例介绍 患者,女,48岁。因疑类风湿性关节炎,经生化检查,心肝功能正常,类风湿因子阳性,ESR(血沉)55 mm/hr,常规WBC4.2×10~9/L。单服用吡罗昔康作抗炎镇痛,20 mg/d,连服7 d,为一疗程。但患者服用到第5天,病情加重,出现低热,体温 Piroxicam is an antiinflammatory, antipyretic and analgesic drug of benzothiazines. Its advantage is the small dosage, the role of long duration. Only served 1 time a day, each 20mg, short-term use of fewer side effects. The most common clinical adverse reactions are gastrointestinal reactions. Less likely to cause liver damage, this case report is as follows. 1 case description Patient, female, 48 years old. Due to suspected rheumatoid arthritis, biochemical tests, normal liver and liver function, positive rheumatoid factor, ESR (erythrocyte sedimentation rate) 55 mm / hr, conventional WBC 4.2 × 10 ~ 9 / L. Piroxicam alone for anti-inflammatory analgesic, 20 mg / d, and even served 7 d, for a course of treatment. However, patients taking the first 5 days, exacerbations, fever, body temperature