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1例57岁女性患者因直肠黑色素瘤切除术后感染,给予左氧氟沙星注射液0.2 g/100 ml静脉滴注,2次/d,用药约20 min时患者出现乏力、盗汗、心悸等症状,急查血糖,为2.7 mmoL/L。立即停用左氧氟沙星,静脉滴注10%葡萄糖500 ml,同时进食糖果,上述症状缓解。次日,再次静脉滴注左氧氟沙星约10 min后上述症状复现,即时血糖2.8 mmol/L。再次停用左氧氟沙星并给予对症治疗,症状缓解。改用其他抗生素治疗,患者感染得到控制,未再出现低血糖反应。
A 57-year-old female patient underwent intrarectal melanoma resection. The patients were given levofloxacin 0.2 g / 100 ml intravenous infusion twice per day for about 20 minutes. The symptoms of fatigue, night sweats and palpitations were observed immediately Blood glucose, 2.7 mmoL / L. Immediate withdrawal of levofloxacin, intravenous infusion of 10% glucose 500 ml, while eating candy, the above symptoms ease. The next day, again after intravenous infusion of levofloxacin about 10 min after the recurrence of the above symptoms, real-time blood glucose 2.8 mmol / L. Levofloxacin again disabled and given symptomatic treatment, symptoms. Switch to other antibiotics, the patient’s infection was controlled, no further hypoglycemia.