庆大霉素致精神失常1例

• 作 者: 刘海滨 王世乔 赵晓云
• 机 构: 八一三六七部队医院,二一三医院,二一三医院
• 出 处: 陕西医学杂志
• 发表日期: 1989年07期
• 关键词: 阑尾切除术 急性阑尾炎 焦虑不安 认识障碍 总剂量 用药量 天后 多语 持续性 脑纹状体

患者宋某,女,28岁。因右下腹持续性疼痛2天入院。入院经检查诊断为急性阑尾炎并行阑尾切除术。手术顺利。病理结果:蜂窝织炎性阑尾炎。术后给予庆大霉素,每日24万(?)静滴,3天后,庆大霉素用量72万u 时,患者出现焦虑不安,忧郁,多疑,哭泣不停。夜不入睡,多语,答非(?)问。有时无目的性漫游。对时间、地点、人物认识障碍。用药5天后考虑上述症状与庆大霉素有关,遂停用,总剂量120万u。2天后患者精神症状消失,(?)后

Patient Song, female, 28 years old. Persistent pain due to right lower quadrant 2 days admission. Admission was diagnosed as acute appendicitis concurrent appendectomy. The operation goes well. Pathological findings: Cellular inflammatory appendicitis. Postoperative gentamicin, 240,000 (?) Intravenous infusion daily, 3 days, the amount of gentamicin 720,000 u, patients with anxiety, depression, suspicious, crying non-stop. Do not sleep at night, multilingual, non-answer (?) Asked. Sometimes purposeless roaming. On the time, place, character recognition disorders. Medication 5 days after considering the above symptoms and gentamicin, then disabled, the total dose of 1.2 million u. 2 days after the patient’s psychiatric symptoms disappear, (?) After