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抗生素应用日益广泛,使用得当常获良效,否则可引起毒副作用,甚至死亡。目前,一些医疗单位,特别是基层,由于滥用抗生素导致严重后果的事例屡有发生,为总结这方面的经验教训,现将近年来遇到的6例讨论如下。一、不适当地选用四环素导致患者死亡女,28岁,1985年10月17日住院。患者因发热、咽痛3天,当地医生诊为“急性扁桃体炎”。入院前7小时给50％葡萄糖40ml加四环素0.5g,约在10分钟内静注完。注后20分钟,患者寒战,继之高热、抽搐,急来院。查体:
Antibiotics are used more and more widely, and they are often used properly when used properly. Otherwise, they may cause side effects and even death. At present, some medical units, especially the grassroots units, have frequently encountered cases of serious consequences due to the abuse of antibiotics. To sum up the experience and lessons learned, six cases encountered in recent years are as follows. First, the inappropriate use of tetracycline leading to the death of patients Female, 28 years old, October 17, 1985 hospitalization. Patients due to fever, sore throat for 3 days, the local doctor diagnosed as “acute tonsillitis.” 7 hours before admission to 50% glucose 40ml plus tetracycline 0.5g, intravenous injection finished in about 10 minutes. 20 minutes after the note, patients chills, followed by high fever, convulsions, anxious to come to hospital. Physical examination: