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青霉胺副反应的探讨
引用本文:杨任民,鲍远程,江停战,任明山. 青霉胺副反应的探讨[J]. 中国新药与临床杂志, 1986, 0(2)
作者姓名:杨任民  鲍远程  江停战  任明山
作者单位:安徽中医学院附属医院神经内科,安徽中医学院附属医院神经内科,安徽中医学院附属医院神经内科,安徽中医学院附属医院神经内科 合肥 230000,合肥 230000,合肥 230000,合肥 230000
摘    要:本文报告128例肝豆状核变性患者口服青霉胺治疗,45例产生各种副反应。其中40例用药后4wk内即发生副反应,而以白细胞减少为多见,其次为药疹,皮肤紫癜及齿龈出血等。因此在服用青霉胺期间,应定期检查血象、谷丙转氨酶及尿蛋白。随访1-10yr未发现免疫复合物型肾炎。

关 键 词:肝豆状核变性  青霉胺  白细胞减少  皮疹  紫癜

Side effects of penicillamine in treating 128 patients with hepatolen-ticular degeneration
YANG Ren-ming,BAO Quan-chen,JIANG Ting-zhan,REN Ming-shan. Side effects of penicillamine in treating 128 patients with hepatolen-ticular degeneration[J]. Chinese Journal of New Drugs and Clinical Remedies, 1986, 0(2)
Authors:YANG Ren-ming  BAO Quan-chen  JIANG Ting-zhan  REN Ming-shan
Abstract:Penieillamine was used to treat a consecutive series of 128 patients with hepatolenticular degeneration(Wil-son's disease) .Adverse reactions occurred in 45patients(32M, 13F,aged 7-39 yr, av 16 + SD 9 yr), manifested by leukope-nia(18), skin rashes(10), thrombocyto-p.enic purpura and anaphylactoid pur-pura (6),.In addition, aplastic anemia, epistuxis and gums bleed, dysorexia orvomiting, abdominal distention and dia-rrhea, constipation and elevation of SGPT had been found. These reactions developed as early us several hours to as late as 66 d after medication.
Keywords:hepatolenticular degener-ation  penicillamine  leukopenia  dermatitis medicamentose  purpura  
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