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问:我是个有严重胃病和心脑血管病的老病号儿,阿司匹林是我每日必须服用的基础药,我怎么吃阿司匹林才能不伤胃呢?答:1明确胃病的性质。如果心脑血管病处于稳定期,应尽量首先明确病人胃病的性质。在老年病人中,胃癌和胃溃疡的鉴别尤为重要。消化性溃疡患者,若幽门螺杆菌(Hp)检测为阳性,应先进行规范的抗Hp治疗,此时不宜使用阿司匹林。如必须使用,尽量选择最小有效剂量(稳定期使用75毫克,急性期使用300毫克),并适当延长疗程。疗程结束后,根据Hp是否根除、
Q: I am an elderly patient who has severe stomach and cardiovascular diseases. Aspirin is the basic medicine I have to take daily. How can I eat aspirin to prevent it from damaging the stomach? A: 1 The nature of the stomach is clear. If cardio-cerebral vascular disease is in stable phase, try to clarify the nature of the patient’s stomach first. In elderly patients, the identification of gastric cancer and gastric ulcer is particularly important. Patients with peptic ulcer, if H. pylori (Hp) test positive, should be standardized anti-Hp treatment, this time should not be used aspirin. If you must use, try to choose the minimum effective dose (stable use of 75 mg, acute use of 300 mg), and the appropriate extension of treatment. After the end of treatment, according to Hp is eradicated,