论文部分内容阅读
例1.李某某,男,43岁,1988年10月5日入院。自诉右腰部绞痛伴尿频、尿急、尿痛。经 B 超检查诊断为多发性肾结石伴尿路感染。给庆大霉素24万单位溶于5%葡萄糖500毫升中静脉点滴,肌肉注射654~210毫克及服清热利湿,排石通淋中药治疗,腰部疼痛消失。入院后第九日查房时患者眩晕,恶心呕吐,耳鸣,动则更甚,行走不稳,经服苯海拉明、胃复安后症状未见减轻,经病案讨论拟为庆大霉素中毒所引起第八对脑神经损害。停用庆大霉素,给苓桂术甘汤加减:茯苓30克,桂枝
Example 1. Li Moumou, male, 43 years old, admitted to hospital on October 5, 1988. Self-reported right waist colic with frequent urination, urgency, dysuria. The diagnosis of multiple kidney stones with urinary tract infections was diagnosed by B-ultrasound. Gentamicin 240,000 units dissolved in 500 ml of 5% glucose intravenously, intramuscular injection of 654 to 210 mg and served with heat and dampness, row stone Tonglin Chinese medicine treatment, waist pain disappeared. On the ninth day after admission, the patient had dizziness, nausea, vomiting, tinnitus, and even more severe movements. His walking was unstable. His symptoms were not relieved after taking diphenhydramine and metoclopramide. The illness was discussed and proposed to be gentamicin. Poisoning caused an eighth damage to the brain. Discontinued gentamycin, add or remove wolfberry Ginger Decoction: 30 g, Guizhi