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患者,男,42岁。因患急性肾盂肾炎入院。入院时血常规Hb140g/L, WBC9.2×10~9/L,N0.8％,L 0.2％。患者住院后即给予红霉素静脉滴注,每日剂量1.5g,分两组输入。第四天作血常规检查,结果WBC2.8×10~9/L,N0.68, L0.32,Hb150g/L。于次日停用红霉素。改为吡哌酸加碳酸氢钠口服治疗。第七天复查血常规WBC5.7×10~9/L,N0.59,L0.4,Hb150g/L。患者经住院治疗3日后尿道刺激征消失,体温降至正常。继之观察血及尿常规恢复正常痊愈出院。红霉素毒副作用多为肝脏损害、胃肠道反应、静脉炎等。该病例在使用红霉素治疗4天(总量为6.0g)后,出现显著白细胞
Patient, male, 42 years old. Due to acute pyelonephritis admitted. Hb140g / L, WBC9.2 × 10 ~ 9 / L, N0.8%, L 0.2% were admitted to hospital. Patients were given hospital erythromycin intravenous infusion, daily dose of 1.5g, divided into two groups. The fourth day for blood tests, the results WBC2.8 × 10 ~ 9 / L, N0.68, L0.32, Hb150g / L. Erythromycin was withdrawn on the next day. Piperidine hydrochloride plus sodium bicarbonate oral treatment. Blood routine examination on the seventh day of blood WBC5.7 × 10 ~ 9 / L, N0.59, L0.4, Hb150g / L. After 3 days of hospitalization of patients with urinary tract irritation disappeared, the body temperature dropped to normal. Followed by observation of blood and urine routine returned to normal hospital. Side effects of erythromycin, mostly liver damage, gastrointestinal reactions, phlebitis and so on. The case showed significant white blood cells after 3 days of treatment with erythromycin (a total of 6.0 g)