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患者,男性,飞行中队长,因腹泻4次伴发烧就诊。凌晨4时感到腹部不适,至下午4时先后腹泻水样便4次,腹部略痛,无里急后重感,未吃不洁食物。午后始有发热,体温渐升至38.5℃。给予庆大霉素40万u静滴。治疗后约2h,患者病情不见好转,体温升至39.5℃,精神萎靡、神志恍惚,遂送医院诊处。约5h后,患者述耳堵、发闷、听不清他人讲话,经检查诊断为庆大霉素致听神经中毒。经输液、补充钙剂及口服维生素
Patients, men, flight squadron leader, suffered from diarrhea 4 times with fever. Abdominal discomfort at 4 am and up to 4 pm Discriminate diarrhea 4 times, mild abdominal pain, no diarrhea and heavy feeling, without eating unclean food. Afternoon fever, body temperature gradually rose to 38.5 ℃. Give gentamicin 40 million u intravenous infusion. About 2h after treatment, the patient’s condition did not improve, body temperature rose to 39.5 ℃, apathetic, trance, then sent to the hospital clinic. About 5h later, the patient described ear blocking, stuffy, could not hear others speech, diagnosed as gentamicin-induced auditory nerve poisoning. After infusion, calcium supplements and oral vitamins