基层医院要慎用庆大霉素

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庆大霉素是氨基甙类抗生素中最常用的品种之一,是治疗各种革兰氏阳性杆菌感染的主要抗菌药物。它又是一种广谱抗生素。 但庆大霉素有一定的毒性反应,其中常见的毒性反应是对第八对脑神经的损害和肾脏损害,极少数患者有变态反应和神经肌肉的阻滞作用。对第八对脑神经的损害主要临床症状为眩晕、平衡失调、耳鸣、听力减退、甚至耳聋。对肾脏的损害较多见,主要临床症状为出现血尿、蛋白尿、管形尿。为了保证临床用药的有效、安全,应减少或避免其毒性反应的发 Gentamicin is one of the most commonly used varieties of aminoglycoside antibiotics and is the main antibacterial drug for treating various Gram-positive bacilli infections. It is another broad-spectrum antibiotic. However, gentamicin has some toxic reactions, of which the common toxic reaction is the eighth pair of cranial nerve damage and kidney damage, a very small number of patients with allergic reactions and neuromuscular blockade. The main clinical symptoms of damage to the eighth cranial nerve are dizziness, imbalance, tinnitus, hearing loss and even deafness. More damage to the kidneys, the main clinical symptoms of hematuria, proteinuria, tubular urine. In order to ensure the clinical medication is effective and safe, should reduce or avoid the toxicity of hair
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