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庆大霉素近年有滥用之倾向。现将我们所见3例庆大霉素引起的严重反应报告如下。例1:男,52岁。患慢性支气管炎,肺气肿,慢性肺原性心脏病,1977年10月29日住院治疗。因过去有青霉素过敏史,入院后改用庆大霉素治疗。肌注庆大霉素8万~u后约五分钟,病者即感头痛,胸闷加重,呼吸困难,至之面色苍白,口唇紫绀,神志不清,心音减弱,血压90/50,即予氧气吸入,肌注肾上腺素,呼吸兴奋剂等抢救措施后,症状逐渐缓解。随后改红霉素、氯霉素等治疗,11天后好转出院。例2:男,57岁。因牙周肿痛1985年1月20日肌注
Gentamicin has a tendency to abuse in recent years. Now we see 3 cases of severe reaction caused by gentamicin reported as follows. Example 1: Male, 52 years old. Suffering from chronic bronchitis, emphysema, chronic pulmonary heart disease, October 29, 1977 hospitalization. Because of past history of penicillin allergy, admission to gentamicin treatment. Intramuscular injection of gentamicin 80000 ~ u after about five minutes, the patient is feeling headache, chest tightness, dyspnea, to the pale, lips cyanosis, confusion, weak heart sounds, blood pressure 90/50, that is, oxygen Inhalation, intramuscular injection of epinephrine, respiratory stimulants and other rescue measures, the symptoms gradually eased. Subsequent change erythromycin, chloramphenicol and other treatment, improved after 11 days was discharged. Example 2: Male, 57 years old. Due to periodontal swelling and pain January 20, 1985 intramuscular injection