论文部分内容阅读
患儿:女,5岁,因上呼吸道感染于1989-11-12在当地医院就医,医嘱给予肌注庆大霉素8万一日二次,连用4天后,家长发现患儿尿液是红色来院,以血尿待查收入病房,查体:患儿精神状态佳,无发热及全身水肿,尿常规检查:蛋白“+”、红细胞“++++”、白细胞“-”、管型“-”,血尿素氮测定5.1mmol/L,诊断为庆大霉素过量导致血尿,处置:停用庆大霉素,给予5％葡萄糖注射液300ml静点一日一次,3天后,肉眼血尿消失,6天后尿常规检查正常,治疗一周痊愈出院。
Children: 5 years old, female, aged 5, was admitted to a local hospital for upper respiratory tract infection because of upper respiratory tract infection. The doctor gave the intramuscular injection of gentamicin 80,000 once a day for two days. After 4 days, parents found that the urine of the children was red To the hospital to hematuria pending income Ward, physical examination: children with good mental state, no fever and systemic edema, urine routine examination: protein “+”, red blood cells “++++”, white blood cells “-”, tubular “ ”, Blood urea nitrogen determination 5.1mmol / L, diagnosis of gentamicin caused by excessive hematuria, treatment: disable gentamicin, given 5% glucose injection 300ml once a day, three days later, the gross hematuria disappeared, Urine routine examination 6 days after normal, cured a week discharged.