基层常见临床不合理用药简介

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1 庆大霉素与链霉素合并使用庆大霉素与链霉素同属氨基糖甙类抗生素,两者合用对肾脏和第八对颅神经的毒性有相加作用,两者都可发生过敏反应,属联合用药之禁忌.庆大霉素与链霉素合用在乡村是屡见不鲜,其原因:①庆大霉素对G~+细菌有效,链霉素对G~-细菌有效;②庆大霉素与链霉素在部分乡村均不做皮试,比用青霉素类药物安全.但应注意庆大霉素不能代替青霉素 1 gentamicin and streptomycin combined use of gentamicin and streptomycin belong to the same aminoglycoside antibiotics, the combination of the two on the kidney and the eighth of the cranial nerve toxicity have an additive effect, both allergies can occur Reaction, is a combination of taboo .Generate gentamicin and streptomycin is common in the countryside, the reason: ① gentamicin on G ~ + bacteria effective, streptomycin on G ~ - bacteria; ② large celebration Streptomycin and streptomycin in some rural areas are not skin test, than with penicillin drug safety, but should be noted that gentamicin can not replace penicillin
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病人女,53岁.右胸痛不适4个月,查体未见明显异常.X线胸透示右肺下叶后基底段类圆形肿物,随呼吸移动.胸部CT示右胸腔后下侧类圆形、近水样密度影,向肺内突出,约6.5cm×4.5cm,考虑为包裹性积液.超声检查见病灶处似液性回声.胸腔穿刺抽出6ml淡黄透明液体.抗炎治疗1个月,胸痛减轻,胸部CT无变化.临床诊断:右肺下叶良性肿瘤。
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例1患者,男,56岁。因右上腹痛2年入院。诊断:胆囊结石、高血压。2年前患过“脑梗死”。入院后用蝮蛇抗栓酶0.75IU静滴,每天1次。3天后改为1.5IU静滴,每天1次。15天后在全麻下行胆囊切除术,术中胆囊床出血
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我们在1993年~1997年期间使用垂体后叶素治疗大咯血过程中有6例出现类抗利尿激素分泌失调综合征(SIADH)表现.现将6例报告如下。1临床资料见表1。2讨论垂体后叶素由于能直接收缩肺