本文报告2例庆大霉素引起急性器质性脑综合征。 例1,男性,36。因选择性泌尿生殖道手术入院。术前详细询问病史和进行有关精神病学方面的检查,结果未发现任何显性或隐性精神病征象。手术成功。麻醉清醒后精神状态正常。术后予防性肌注庆大霉素,每8小时80毫克。5天后出现幻觉、视物变形、定向力丧失和轻度精神失常。除尿素氮为67毫克％外,其他各项检查均正常。诊断为急 This article reports 2 cases of gentamicin caused acute organic brain syndrome. Example 1, male, 36. Due to selective genitourinary surgery admission. Preoperative detailed medical history and psychiatric examination, the results did not find any manifest or hidden signs of mental illness. Successful operation. Anesthesia after awake mental status. Postoperative intramuscular injection of gentamicin, 80 mg every 8 hours. 5 days after the hallucinations, visual distortion, loss of orientation and mild mental disorders. In addition to urea nitrogen 67 mg%, the other checks were normal. Diagnosed as urgent