目前,头孢噻吩和庆大霉素常为联合使用抗生素之一,我们在治疗败血症病程中发生急性肾功能损害1例,现报道如下。 女,51岁,因畏寒,高热13d,咳嗽、咯血粘痰10d,于1984年1月7日入院。有慢性尿路感染及晚期血吸虫病史,曾行脾切除术。入院体检:神清、重病容、T39.8℃、BP15.96/10.64kPa,皮肤粘膜无瘀点,巩膜无黄染,两肺可闻及湿性啰音。心率108次/分,律齐,未闻及病理性杂音。肝上界第6肋 At present, cefalotin and gentamicin often used in combination with antibiotics, we in the course of the treatment of sepsis acute renal injury occurred in 1 case, are reported below. Female, 51 years old, because of chills, fever 13d, cough, hemoptysis phlegm 10d, January 7, 1984 admission. Have a history of chronic urinary tract infection and advanced schistosomiasis, had splenectomy. Admission examination: Shen Qing, seriously ill, T39.8 ℃, BP15.96 / 10.64kPa, skin and mucous membrane petechiae, sclera no yellow dye, both lungs can be heard and wet rales. Heart rate 108 beats / min, law Qi, no smell and pathological murmur. Liver top 6 rib