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速尿为高效能利尿剂,临床应用广泛,副作用较少。现将1例速尿致永久性耳聋报告如下。 患者,男,53岁。因少尿半年,加重伴胸闷2周入院。既往有慢性肾炎20年。诊断为慢性肾炎、慢性肾功能衰竭、尿毒症。入院后给予口服氧化淀粉等对症处理,同进给予速尿200mg+50%GS40ml ivst,当推注2/3药量时病人突感耳鸣,随之听力明显下降,停速尿观察1月听力未恢复,随访1年听力无改善。
Furosemide is a high-performance diuretic with wide range of clinical applications and fewer side effects. Now a case report of furosemide permanent deafness is as follows. Patient, male, 53 years old. Due to oliguria for six months, increased with chest tightness 2 weeks admission. Past chronic nephritis 20 years. Diagnosis of chronic nephritis, chronic renal failure, uremia. Oral administration of oxidized starch and other symptomatic treatment after admission, with the feed given furosemide 200mg + 50% GS40ml ivst, when the bolus 2/3 dose of the patient sudden sense of tinnitus, accompanied by a significant decrease in hearing, halt speed urine observation January hearing Recovery, follow-up 1 year hearing without improvement.