摘要
目的通过对头孢匹胺钠致严重白细胞降低1例病案报道,为临床合理用药提供参考。方法病例回顾。30岁女性患者,胃镜检查为非萎缩性胃炎伴胆汁返流及十二指肠球部炎症,给予0.9%氯化钠注射液250 mL+注射用头孢匹胺钠2 g,泮托拉唑80 mg及维生素B6 0.1 g,均为每日1次,静脉滴注治疗。结果用药2 d后患者反馈头痛难忍,血常规WBC由8.95×109.L-1降为2.5×109.L-1,立即停用头孢匹胺钠,另两药继续3 d,头痛缓解,5 d后WBC恢复至正常水平。结论注射用头孢匹胺钠可致WBC严重降低,临床应密切注意,停止用药后可逐步恢复。
A 30-year-old woman received an intravenous infusion of cefpiramide sodium for injection 1 g dissolved in 250 mL of 0.9% sodium chloride twice daily, ornidazole and sodium chloride injection 100 mL twice daily for infection prophylaxis after partial hysterectomy. Six days later, WBC count of the patient decreased from 4.3×10^9·L^-1 to 1.9×10^9·L^-1. Cefpiramide sodiumand ornidazole were discontinued immediately and the patient received leucogen tablets, Shengxuening tablets and berbaminehydrochloride tablets. Ten days later, the WBC count returned to normal.
出处
《襄樊职业技术学院学报》
2011年第6期33-34,共2页
Journal of Xiangfan Vocational and Technical College
