中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2009年
15期
61-62
,共2页
血尿%肾%肾毒性%药物
血尿%腎%腎毒性%藥物
혈뇨%신%신독성%약물
Hematuria%Kidney%Nephrotoxicity%Drug
目的:探讨药物所致血尿的病因.方法:对52例药物性血尿的临床资料进行数理分析.结果:表明引起血尿的药物有磺胺类、双氯酚酸、消炎痛、庆大霉素、头孢拉啶、头孢氨苄、环丙沙星、氧氟沙星、甲氨蝶呤.患者有使用相关药物史,临床表现为血尿,镜检尿液有结晶体,少数患者有皮疹,老年患者较多(51.9%).停用药物及对症处理后痊愈.随访6个月无复发.结论:为避免该症的发生,临床医生应严格掌握用药指征,防止滥用药物,尽量少用或不用肾毒性药物,特别是老年患者,并教育患者应尽可能在医生指导下用药、不要盲目用药.
目的:探討藥物所緻血尿的病因.方法:對52例藥物性血尿的臨床資料進行數理分析.結果:錶明引起血尿的藥物有磺胺類、雙氯酚痠、消炎痛、慶大黴素、頭孢拉啶、頭孢氨芐、環丙沙星、氧氟沙星、甲氨蝶呤.患者有使用相關藥物史,臨床錶現為血尿,鏡檢尿液有結晶體,少數患者有皮疹,老年患者較多(51.9%).停用藥物及對癥處理後痊愈.隨訪6箇月無複髮.結論:為避免該癥的髮生,臨床醫生應嚴格掌握用藥指徵,防止濫用藥物,儘量少用或不用腎毒性藥物,特彆是老年患者,併教育患者應儘可能在醫生指導下用藥、不要盲目用藥.
목적:탐토약물소치혈뇨적병인.방법:대52례약물성혈뇨적림상자료진행수리분석.결과:표명인기혈뇨적약물유광알류、쌍록분산、소염통、경대매소、두포랍정、두포안변、배병사성、양불사성、갑안접령.환자유사용상관약물사,림상표현위혈뇨,경검뇨액유결정체,소수환자유피진,노년환자교다(51.9%).정용약물급대증처리후전유.수방6개월무복발.결론:위피면해증적발생,림상의생응엄격장악용약지정,방지람용약물,진량소용혹불용신독성약물,특별시노년환자,병교육환자응진가능재의생지도하용약、불요맹목용약.
Objective:To explore the cause of drug-induced hematuria. Methods:To analyse for clinical information of 52 cases of drug-induced hematuria in the data and reason. Results:The drugs causing hematuria were sulfa drugs, diclofenac, indocin, centamyein, cefradine, cefletin, ciprofloxacin, oflxaein and amethopterin.These patients had historical to use related drugs. Clinical maniteslations: hematufia, cryslats by microscopic examination of uria, skin rash in a small mumber of patients. Old people were more (51.92%) in these patients. All patients were fully recovered by stoping drugs and symptomatic treatment. All patients recovered not recured by following and visiting them at six months. Conclusion:In
order to avoid occurrence of the disease, clinical doctors should master strictly medication indications and prevent to abuse drugs and try to use fewer or no drugs of nephrotoxicity particularly in elderly patients and educate patients to use drugs under the guidance of doctor as much as possible and no blind.
