摘要
目的探讨阿米卡星致过敏性休克的特点和转归,为临床安全用药提供参考。方法利用“中文期刊全文数据库”、“中文科技期刊全文数据库”和“万方数据医药信息镜像系统”对1994-2007年9月国内医药学期刊上发表的文献进行检索,共检索到阿米卡星致过敏性休克的患者29例,对患者资料进行整理归纳和分析讨论。结果29例患者中,男14例,女15例,年龄1.5—89.0岁;为常规剂量静脉滴注、肌肉注射,1例为膀胱冲洗;其中有6例患者为联合用药;过敏性休克在用药后40min内出现;治疗后有26例患者康复,3例死亡。结论应用阿米卡星时,要密切观察患者的反应,严密预防过敏性休克的发生,做到早发现、早抢救,以免贻误抢救时机。
Objective To research the characteristics and outcom of amikacin - induced anaphylactic shock, and to provide reference for safe clinical medication. Methods The literatures between January 1994 and September 2007 were searched for from " Chinese Journal Full - text Database" ," Chinese Science and Technology Journal Full - text Database" , and " Wanfang Medicine Data China info", 29 cases with amikacin - induced anaphylactic shock were collected and analyzed. Results Of the 29 cases, 14 (48. 3 % ) were male, 15 (51.7% ) female, aged 1. 5 to 89 years; They were given intravenous injection or intramuscular injection or bladder washout ( 1 case). Most of anaphylactic shock occurred within 10 minutes (59. 3% ) after administration, and 26 cases recovered (89. 7% ) and 3 cases died ( 10. 3% ). Conclusion This paper provided reference for the safe medication of amikacin
出处
《中国全科医学》
CAS
CSCD
2008年第8期685-687,共3页
Chinese General Practice