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多粘菌素B属多肽类抗生素,其副作用主要为肾毒性.笔者在临床应用其治疗细菌性肠炎的过程发现,多粘菌素B还可致紫绀,致紫绀的原因可能是多粘菌素B引起的高铁血红蛋白血症.现报道如下.1、临床资料1.1用多粘菌素B治疗一般药物疗效不佳的顽固性细菌性肠炎36例,其中18例为鼠伤寒沙门氏菌肠炎,11例为福氏志贺氏菌肠炎,7例为枸椽酸杆菌肠炎.1.2年龄:新生儿8例,<1岁16例,~3岁10例,>3岁2例.男20例,女16例.
Polymyxin B is a peptide antibiotic, and its side effects are mainly nephrotoxic.The author in the clinical application of its treatment of bacterial enteritis found that polymyxin B can also cause cyanosis, cyanosis caused by the reason may be polymyxin B is caused by methemoglobinemia are reported as follows.1, clinical data 1.1 with polymyxin B treatment of refractory bacterial enteritis in general efficacy of ineffective in 36 cases, of which 18 cases of Salmonella typhimurium enteritis, 11 cases were Shigella flexneri enteritis, 7 cases of citrullobacteroid enteritis.1.2 age: 8 newborns, <1 year old 16 cases, ~ 3 years old in 10 cases,> 3 years old in 2 cases.Male 20 cases, female 16 cases .