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近年来,我院遇到6例由庆大霉素和卡那霉素引起的肾中毒,现举2例。例1:女,1岁,因发热、咳嗽5天,血尿2天入院,入院前5天肌注庆大霉素每日2次,8万单位,连用3天,并用复方扑尔敏退热。近2天来患儿小便发红,尿频,无遗传病史。尿常规蛋白(+++),镜检红细胞8～10个,脓细胞0～1个。Hb115g/L,红细胞4.11×10~(12)/L,白细胞7.3×10~9/L,中性0.70,淋巴0.30。泌尿系B超(一),听力检查未发现异常。诊断:①庆大霉素肾中毒,②上
In recent years, our hospital encountered 6 cases of nephrotoxicity caused by gentamicin and kanamycin, now in 2 cases. Example 1: Female, 1 year old, due to fever, cough for 5 days, hematuria 2 days admission, 5 days before admission, intramuscular injection of gentamicin 2 times daily, 80000 units, once every 3 days, and compound chlorpheniramine fever . Nearly 2 days to urinate in children with redness, frequent urination, no genetic history. Urine protein (+++), microscopic examination of 8 to 10 red blood cells, pus 0 to 1. Hb115g / L, red blood cells 4.11 × 10-12 / L, white blood cells 7.3 × 10 ~ 9 / L, neutral 0.70, lymph 0.30. Urinary B ultrasound (A), hearing tests found no abnormalities. Diagnosis: ① gentamicin kidney poisoning, ② on