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患者忻某,女,45岁,因咽痛,服用洁霉素片无好转,3d 后症状加剧,并有咳嗽,白色粘液痰,经门诊改用头孢拉定胶囊,0.5tid,连服4d 后,突觉头昏、乏力、胸闷、畏寒,继而脸色苍白,冷汗、测 T37.6℃,经急诊输液后有所好转,次日晚肉眼血尿,但尿常规正常,后出现尿黄,巩膜黄染,仍有头昏、眩晕,收治入院。实验室检查:黄胆指数20单位,锌浊度<12,谷丙转氨酶9单位,网织红细胞5.5%,血红蛋白8.0g%,Coomb’s 试验阳性,B 超示:肝未见占位,脾稍大42mm。临床诊断:溶血性贫血(药物引起)。体会:头孢拉定临床应用日益广泛,据
Xin patients, female, 45 years old, due to sore throat, taking lincomycin tablets no improvement, 3d after the symptoms worsened, and cough, white mucus sputum, cephradine capsules by clinic, 0.5tid, and even served 4d after the sudden Feeling dizzy, weakness, chest tightness, chills, then pale, cold sweat, measured T37.6 ℃, the infusion after transfusion improved, the next day night gross hematuria, but normal urinary routine, after urinary yellow, scleral yellow dye , Still dizzy, dizzy, admitted to hospital. Laboratory tests: 20 units of the index of the gallbladder, zinc turbidity <12, alanine aminotransferase 9 units, reticulocyte 5.5%, hemoglobin 8.0g%, Coomb’s test positive, B ultrasound showed: liver no placeholder, spleen slightly larger 42mm. Clinical diagnosis: hemolytic anemia (drug-induced). Experience: Cephradine clinical application of an increasingly widespread, according to