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抗菌药物致血液系统不良反应分析
引用本文:谢法红,黄智,张浩榆,李德东.抗菌药物致血液系统不良反应分析[J].药学实践杂志,2017,35(4):298-300,314.
作者姓名:谢法红  黄智  张浩榆  李德东
作者单位:解放军总医院药学部临床药学中心, 北京 100853,解放军总医院药学部临床药学中心, 北京 100853,解放军总医院药学部临床药学中心, 北京 100853,解放军总医院药学部临床药学中心, 北京 100853
基金项目:国家自然科学基金(81501730)
摘    要:近年来,随着抗菌药物在临床上的广泛应用,抗菌药物相关不良反应也越来越引起人们的关注。其中,由于抗菌药物所引起的血液系统不良反应严重影响了患者的身体健康和医生的药物选择。例如,部分β-内酰胺类抗生素可以引起凝血功能障碍和溶血性贫血,氯霉素、磺胺等可以引起再生障碍性贫血,利奈唑胺可以引起血小板减少和贫血等。正确认识各种抗菌药物所引起的血液系统不良反应及其机制,对于临床抗菌药物的选择具有重要意义。本文针对临床常见抗菌药物引起的血液系统不良反应及其机制进行综述,以期为临床抗菌药物的选择提供参考。

关 键 词:抗菌药物  血液系统  不良反应
收稿时间:2016/12/6 0:00:00
修稿时间:2017/5/3 0:00:00

Adverse reactions in hematological system induced by antibacterial agents
XIE Fahong,HUANG Zhi,ZHANG Haoyu and LI Dedong.Adverse reactions in hematological system induced by antibacterial agents[J].The Journal of Pharmaceutical Practice,2017,35(4):298-300,314.
Authors:XIE Fahong  HUANG Zhi  ZHANG Haoyu and LI Dedong
Institution:Clinical Pharmacy Center, Department of Pharmacy, PLA General Hospital, Beijing 100853, China,Clinical Pharmacy Center, Department of Pharmacy, PLA General Hospital, Beijing 100853, China,Clinical Pharmacy Center, Department of Pharmacy, PLA General Hospital, Beijing 100853, China and Clinical Pharmacy Center, Department of Pharmacy, PLA General Hospital, Beijing 100853, China
Abstract:In recent years, with the wide use of antimicrobial agents, the adverse reactions related to antimicrobial agents have attracted more and more attention.Among them, the adverse reactions in hematological system induced by antibacterial agents seriously affect patient''s health and doctor''s selection for antibiotics.For example, some beta lactam antibiotics can cause dysfunction of coagulation and hemolytic anemia.Chloramphenicol and sulfonamides can cause aplastic anemia.Linezolid can cause thrombocytopenia and anemia.It is important to understand the adverse reactions in hematological system caused by antibiotics.In this paper, the antibiotic induced adverse reactions in hematological system and their mechanism were summarized in order to provide information for the rational use of antimicrobial agents.
Keywords:antibacterial agents  hematological system  adverse reaction
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