论文部分内容阅读
除了众所周知的耳毒性药物氨基糖甙类抗生素、强利尿剂、水杨酸盐等引起听力下降不良反应外,常见的还有: 1、环丙沙星。患者,女,38岁,咳嗽、畏寒、发热5天。住院治疗,诊断为肺炎,予环丙沙星注射液100ml静滴,一天两次。用药第四天,病人出现双侧耳鸣,听力下降。停用环丙沙星,改为氨苄青霉素治疗,3天后耳鸣消失,听力有所恢复,住院12天,肺炎痊愈出院,听力完全恢复。 2、异烟肼。息者,男,67岁,低热,咳嗽1周。痰涂片,抗酸杆菌阳性,医院诊断为肺结核,以异烟肼常规剂量治疗,2天后病人突感耳鸣,听力下降,数日后又全身瘙痒
In addition to the well-known ototoxic drugs aminoglycoside antibiotics, diuretics, salicylates and other adverse reactions caused by hearing loss, the common are: 1, ciprofloxacin. Patient, female, 38 years old, cough, chills, fever 5 days. Hospitalization, diagnosis of pneumonia, to ciprofloxacin 100ml intravenous infusion twice a day. The fourth day of treatment, patients with bilateral tinnitus, hearing loss. Ciprofloxacin was discontinued and treated with ampicillin. After 3 days, the tinnitus disappeared and hearing was restored. After 12 days of hospitalization, pneumonia was discharged and the hearing recovered completely. 2, isoniazid. Interest, male, 67 years old, fever, cough for 1 week. Sputum smear, acid-fast bacilli positive, the hospital diagnosed as tuberculosis, with isoniazid conventional dose treatment, 2 days after the patient sudden sense of tinnitus, hearing loss, a few days later itching