万古霉素作为一种杀菌抗生素,可用于治疗不卧床连续腹膜透析(CAPD)者的腹膜炎。本文报告1例CAPD的腹膜炎患者,在应用万古霉素注射和腹膜内给药后发生严重的血小板减少症。病例,女,48岁,为末期肾衰的Alport氏综合征患者,已进行CAPD1年多。在以后的16个月中曾两次并发腹膜炎, Vancomycin as a bactericidal antibiotic can be used to treat peritonitis in ambulatory continuous peritoneal dialysis (CAPD). This article reports 1 patient with peritonitis of CAPD who developed severe thrombocytopenia after vancomycin injections and intraperitoneal administration. Case, female, 48 years old with Alport’s syndrome who is end-stage renal failure, has been on CAPD for 1 year. In the next 16 months have been complicated by peritonitis twice,