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目的分析连续使用卷曲霉素6个月治疗耐多药肺结核的不良反应。方法 36例耐多药肺结核患者,患者均接受6个月的卷曲霉素治疗,密切注意患者治疗后不良反应的发生情况。结果卷曲霉素不良反应主要为:局部硬结和疼痛、低血钾、静脉炎、肾功能损害及第八对颅神经损害,患者经及时处理和停药调整药物后,坚持用药至疗程结束。随访1年,21例患者结核菌培养阴性,3例患者结核菌培养阳性,2例患者肺结核呼吸衰竭死亡,10例患者各症状明显好转。结论卷曲霉素不良反应较为常见,会出现严重的不良反应,需引起临床高度重视。
Objective To analyze the adverse effects of continuous use of capreomycin for 6 months in the treatment of multidrug-resistant pulmonary tuberculosis. Methods Thirty-six patients with multidrug-resistant pulmonary tuberculosis were treated with capreomycin for 6 months. Pay close attention to the occurrence of adverse reactions after treatment. Results The major adverse reactions of capillacin were: local induration and pain, hypokalemia, phlebitis, renal dysfunction and cranial nerve damage in the eighth. Patients were treated and discontinued in time. After one year of follow-up, 21 patients were negative for TB culture, 3 patients were positive for TB culture, 2 patients died of respiratory failure of pulmonary tuberculosis, and 10 patients had obvious symptoms. Conclusion Adriamycin adverse reactions are more common, there will be serious adverse reactions, the need to cause clinical attention.