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患者,男,27a。因患急性阑尾炎行手术治疗,术后静脉滴注硫酸庆大霉素24万单位、氯霉素注射液1.0g,共连续用药5d,于停药后 d2出现耳鸣、头晕、视物旋转,不能独立行走伴频繁恶心呕吐。经在某医院给以镇静、止吐等处理后,恶心呕吐有所缓解。但头晕,耳鸣加重,行走不稳,易倾倒,闭目不能站立,亦不能直线行走。诊断为:“硫酸庆大霉素毒性反应”。入院查体:血压14.6/9.3kPa,脉搏62次/min,神志清楚,心肺无殊,腹平软,肝脾未及,脊柱,四肢无畸形,关节活动度佳,无红肿压痛。神经系统,生理反射均存在,
Patient, male, 27a. Because of acute appendicitis underwent surgical treatment, postoperative intravenous infusion of gentamicin 240,000 units, chloramphenicol injection 1.0g, a total of 5d continuous medication, after stopping d2 appear tinnitus, dizziness, depending on the material rotation, can not Independent walking with frequent nausea and vomiting. After being given a calm, antiemetic and other treatment in a hospital, nausea and vomiting eased. However, dizziness, tinnitus increased, unstable walking, easy to dump, eyes closed can not stand, nor can a straight walk. Diagnosed as: “Gentamicin sulfate toxicity.” Admission examination: blood pressure 14.6 / 9.3kPa, pulse 62 beats / min, conscious, cardiopulmonary no special, abdominal soft, liver and spleen without, spine, limbs without deformity, good joint activity, no swelling and tenderness. Nervous system, physiological reflexes exist,