庆大霉素(下简称庆大)的抗菌谱较广,使用方便,价格便宜,为临床尤其是基层医务人员广泛应用。但近年发现,因使用庆大引起的肾损害日见增多。本文回顾分析1986年以来所见的13例庆大肾损害的临床表现及转归,以进一步提高对庆大肾毒性的认识。临床资料1.13例中。男8例,女5例。年龄44.3±5.2(19～72)岁,其中40岁以上者7例,占53.8%。原发疾病为:急性菌痢5例,上消化道出血3例(消化性溃疡2例,食道、胃底静脉曲张破裂出血1例),肺 Gentamicin (hereinafter referred to as Qingda) antibacterial spectrum is broader, easy to use, cheap, widely used for clinical patients, especially grassroots medical staff. However, in recent years, it has been found that renal damage caused by the use of Qing-Da is increasing daily. This article retrospectively analyzed the clinical manifestations and outcomes of 13 cases of dampness-damaging kidney lesions seen since 1986 in order to further improve the understanding of the toxicity of jelly. Clinical data in 1.13 cases. 8 males and 5 females. Age 44.3 ± 5.2 (19 ~ 72) years old, of which 7 were over the age of 40, accounting for 53.8%. Primary disease: acute dysentery in 5 cases, 3 cases of upper gastrointestinal bleeding (peptic ulcer in 2 cases, esophageal and gastric variceal bleeding in 1 case), lung