论文部分内容阅读
笔者曾遇1例因庆大霉素在常规剂量内致急性肾功能衰竭的患儿。现报道如下,以引起广大医务人员警惕。 患儿,男,年龄3.8a,体重15kg,于入院前6d出现腹痛、呕吐等症状在当地医院就诊。诊断为急性肠胃炎,给静滴庆大霉素5万U,出现少尿。d2(第2天)再次静滴庆大霉素5万U,尿量明显减少。d3有果酱样大便2次,再次静滴庆大霉素4万U,此后便无尿。予以补液,应用呋塞米(呋喃苯胺酸)后仍无尿,考虑急性肾功能不全。于1991年10月26日转入儿科医院。
I have encountered 1 case of gentamicin in patients with acute renal failure caused by conventional doses. Now reported as follows to arouse the vigilance of the general medical staff. Children, male, age 3.8a, weight 15kg, abdominal pain in the 6d before admission, vomiting and other symptoms in the local hospital. Diagnosis of acute gastroenteritis, intravenous gentamicin 50,000 U, oliguria. d2 (2 days) again gentamicin 50,000 U, urine output decreased significantly. d3 jam-like stool twice, once again intravenous infusion of gentamicin 40,000 U, then no urine. To be rehydration, furosemide (furosemide acid) after no urine, consider acute renal insufficiency. On October 26, 1991 into the pediatric hospital.