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患儿,男性10岁,体重25kg,因右股骨陈旧性骨折畸形愈合入院,在硬膜外麻醉进行右股骨切开复位内固定术,手术顺利,为抗感染应用妥布霉素80mg静脉点滴,每天一次,用至第4天,患儿感觉发热,头昏及恶心症状,查体,T38.5℃、P84次/分R25次/分、BP16/10kpa,约10分钟后,患儿呕吐出胃内物及胆汁样物,停用妥布霉素,肌注胃复安2ml,及对症处理,40分钟后,恶心呕吐等症状消失。改用洁霉素0.6g静脉滴注,每天一次,庆大霉素8万单位肌注,每天2
Children, men 10 years old, weighing 25kg, due to the right femur old fracture malformations hospitalized in the right epidural anesthesia for right femoral open reduction and internal fixation, the operation goes well for the application of tobramycin 80mg intravenous drip, Once a day, until the fourth day, children feel fever, dizziness and nausea, physical examination, T38.5 ℃, P84 times / min R25 beats / min, BP16 / 10kpa, about 10 minutes later, children vomit Stomach and bile samples, stop tobramycin, intramuscular injection of metoclopramide 2ml, and symptomatic treatment, 40 minutes later, nausea and vomiting and other symptoms disappear. Use lincomycin 0.6g intravenously, once daily, gentamicin 80,000 units intramuscularly, 2