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本文报告1例起搏器植入过程中应用头孢呋辛钠引起的罕见不良反应。对该病例在术中预防性使用头孢呋辛钠后出现腰背部剧痛、胸腔积液进行分析,排除其他因素引起的症状,总结用药的合理性及时机,以及出现不良反应后的处理方法。患者术中出现的症状为应用头孢呋辛钠后出现的不良反应,起搏器植入术使用该药预防感染是合理的,但应术前0.5~2.0 h使用。
This article reports the use of cefuroxime axetil in a rare case of pacemaker implants. After the intraoperative prophylactic use of cefuroxime sodium in the case of back pain, pleural effusion were analyzed to rule out the symptoms caused by other factors, to sum up the rationality of medication and timing, as well as adverse reactions after treatment. Symptoms in patients during operation after the application of cefuroxime sodium adverse reactions occur, pacemaker implantation to prevent infection with the drug is reasonable, but should be used 0.5 ~ 2.0 h before surgery.