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抗生素致慢性肾衰竭患者药物性脑病38例临床分析
引用本文:黄秋红. 抗生素致慢性肾衰竭患者药物性脑病38例临床分析[J]. 实用临床医药杂志, 2011, 15(3)
作者姓名:黄秋红
作者单位:北京市昌平区医院,药剂科,北京,102200
摘    要:
目的探讨引起慢性肾衰竭患者药物性脑病的抗生素种类、发病机制、临床特点及防治措施。方法回顾性分析发生药物性脑病38例慢性肾衰竭患者所使用的抗生素种类、临床特点、治疗及转归。结果头孢菌素类、喹诺酮类、碳青霉烯类可致药物性脑病,并与其药代动力学特点及给药剂量有关。停药和加强血液透析,绝大多数预后良好。结论 慢性肾衰竭患者应根据肾功能损害程度及药代动力学特点合理选择抗生素种类及调整给药剂量,加强不良反应监测,进行血药浓度监测。并发药物性脑病后要及时停药及强化透析治疗。

关 键 词:慢性肾功能衰竭  抗生素  药物性脑病

Clinical analysis of 38 cases of encephalopathy caused by antibiotic in patients with chronic renal failure
HUANG Qiu-hong. Clinical analysis of 38 cases of encephalopathy caused by antibiotic in patients with chronic renal failure[J]. Journal of Clinical Medicine in Practice, 2011, 15(3)
Authors:HUANG Qiu-hong
Affiliation:HUANG Qiu-hong(Changping District Hospital,Beijing,102200)
Abstract:
Objective To investigate types of antibiotics,pathogenesis, clinical features and control measures in patients with chronic renal failure caused by drug-induced encephalopathy.Methods Retrospective analysis was made in terms of 38 cases of encephalopathy occurring drugs in patients with chronic renal failure,type of antibiotics used in clinical characteristics,treatment and prognosis.Results Cephalosporins,Quinolones,Carbapenems that may lead to drug-induced encephalopathy originate from its Pharmacokinetic...
Keywords:chronic renal failure  antibiotics  drug-induced encephalopathy  
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