阿奇霉素是氮杂内酯类抗生素,该药品耐受性良好,不良反应发生率较低,多为轻到中度可逆反应。但阿奇霉素不良反应较多,本文论述了1例患者静脉点滴阿奇霉素后出现的颈项僵硬、头晕等不良反应,并列举了阿奇霉素的一些常见不良反应,提醒临床医务人员在用药过程中要注意,同一种药物不同给药途径可能会出现不同的反应,应予以重视。1典型病例患者,男,50岁,汉族,河北省泊头市人。既往无肝炎、结核、伤寒、疟疾等传染病史,也无高血压病、糖尿病、冠心病病史。入院前10天有上呼吸道感染史,无发热,有咳嗽咳痰,为少量黑色黏液,鼻流清涕,咽痛等症状。自行服用阿莫西林和感冒胶囊,以上症状好转。患者于2013年6月20日开车过 Azithromycin is aza lactone antibiotics, the drug is well tolerated, the incidence of adverse reactions is low, mostly mild to moderate reversible reaction. However, azithromycin more adverse reactions, this article discusses one case of patients with intravenous azithromycin neck stiffness, dizziness and other adverse reactions, and cited some of the common side effects of azithromycin, to remind clinicians in the medication process should pay attention to the same Different routes of administration of the drug may show different responses and should be taken seriously. A typical case of patients, male, 50 years old, Han nationality, Botou City, Hebei Province. Past no hepatitis, tuberculosis, typhoid, malaria and other infectious diseases history, nor hypertension, diabetes, coronary heart disease history. 10 days before admission, there is a history of upper respiratory tract infection, no fever, cough and sputum, a small amount of black mucus, nasal discharge, sore throat and other symptoms. Take amoxicillin and cold capsules on their own, the above symptoms improved. The patient drove on June 20, 2013