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疾病的治疗,不仅要求临床医师有较高的诊断技术水平,还要掌握好药理知识,做到合理用药,才能提高治疗效果。笔者从事调剂工作,收集1991—1992年的二千张西药处方中,578张处方用药不合理,现就存在问题谈几点看法: 1.临床上常见青霉素6.0g与氢化考的松100毫克一起用10％葡萄糖500毫升稀释后静滴。(1)氨苄青霉素随着溶液中葡萄糖浓度增大,其分解速度加快,在5％葡萄糖中27℃,2小时效价降低10％,在10％葡萄糖中分解更快。(2)本处方混合
Disease treatment, not only requires clinicians have a higher level of diagnostic skills, but also master the pharmacological knowledge, to be rational use of drugs, can improve the therapeutic effect. The author engaged in the swap work, collecting 1991-1992 two thousand prescriptions, 578 prescriptions unreasonable, now there are problems talk about the views: 1. Common clinical penicillin 6.0g and hydrocortisone 100mg together 500ml diluted with 10% glucose intravenous infusion. (1) Ampicillin As the concentration of glucose in the solution increases, its decomposition rate is accelerated. In 5% glucose, the 2-hour titer is reduced by 10% at 27 ° C, and the degradation is faster in 10% glucose. (2) This prescription mixed