论文部分内容阅读
目的:分析鱼胆中毒误用皮大霉素的教训,以避免误诊误治加重肾脏损害。方法:回顾性对比分析35例鱼胆中毒的治愈率及肾功能损害情况。结果:35例鱼胆中毒未用庆大霉素22例患者全部治愈,13例误用庆大霉素的患者中2例死于急性肾功能衰竭,1例转为慢性肾功能衰竭。未用与使用庆大霉素患者的治愈率比较,经卡方法计算确切概率,P<0.05。肾功能损害程度,血液透析次数,用庆大霉素组明显高于未用庆大霉素组,P<0.01。结论:鱼胆中毒后再误用庆大霉素更加重急性肾功能衰竭的恶化。
OBJECTIVE: To analyze the lessons of misdiagnosis of gentimycin in fish gall poisoning to avoid misdiagnosis and mistreatment to aggravate kidney damage. Methods: Retrospective comparative analysis of 35 cases of fish gall poisoning cure rate and renal dysfunction. Results: Thirty-five cases of fish gall bladder poisoning were not cured by gentamicin in 22 patients. Two of 13 patients with gentamicin were died of acute renal failure and one was converted to chronic renal failure. Unused and gentamicin in patients with the cure rate, the exact probability calculated by the card method, P <0.05. The degree of renal dysfunction, the number of hemodialysis, with gentamicin group was significantly higher than the group without gentamicin, P <0.01. Conclusion: After fish poisoning, gentamicin misuse more aggravate acute renal failure.