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笔者自1986年至1989年曾遇林可霉素致嗜睡3例,报告如下。 例1 患儿,女,12yr。因咽痛伴发热2d就诊。查体:T38CP 80次/min,R24次/min,神志清楚,咽充血明显,双侧扁桃体Ⅰ°-Ⅱ°,隐窝见少许黄色分泌物,血:WBC1.2×10~9/L,N0.80,L0.20。拟诊急性化脓性扁桃体炎。给予林可霉素(lincomycin)0.4g, im, bid,溶菌酶含片含服,以及退热治疗。当日出现嗜睡,注意力不集中,视物模糊,次日热退,d4扁桃体表面无脓,遂停药随访,d5
The author from 1986 to 1989 had lincomycin-induced drowsiness in 3 cases, the report is as follows. Example 1 children, women, 12yr. Due to sore throat with fever 2d treatment. Examination: T38CP80 beats / min, R24 beats / min, conscious clear, pharyngeal congestion was obvious, bilateral tonsil I ° -Ⅱ °, see a small yellow crypt secretions, blood: WBC1.2 × 10 ~ 9 / L, N0.80, L0.20. To be diagnosed acute suppurative tonsillitis. Administration of lincomycin 0.4 g, im, bid, lysozyme buccal tablets, and antipyretic treatment. Day drowsiness, attention deficit, blurred vision, the next heat back, d4 tonsil surface no pus, then stop the drug follow-up, d5