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1 病例介绍患者,男,33岁,因咳嗽、胸痛、发热5d入院.入院前未接受过任何治疗,既往无神经精神病史.入院时神志清,言词清晰,神经系统无异常表现.经体检及胸片检查确诊为肺炎.给予青霉素800万U加入生理盐水500ml中静脉滴注,阿米卡星(丁胺卡那霉素)0.4g加入5%葡萄糖盐水100ml中静脉滴注联合抗感染,qd.输完阿米卡星后不久病人即出现心悸、舌僵、言词不清、流涎、饮水呛咳.急查脑部CT、颅脑多普勒均正常.因疑及阿米卡星所致不良反应,故停用该药,上述症状逐渐缓解直至消失.继用青霉素治疗12d,肺炎痊愈出院,上述症状消失.
1 case description The patient, male, 33 years old, was admitted to the hospital for cough, chest pain and fever for 5 days before admission, and had no previous history of neuropsychiatric disorder. Chest X-ray examination confirmed pneumonia given penicillin 800 million U added 500ml of intravenous infusion of normal saline, amikacin (amikacin) 0.4g 5% glucose saline 100ml intravenous infusion of anti-infection, qd Shortly after the end of the infusion of amikacin, patients showed palpitations, tongue stiffness, vague words, drooling, water cough .Ccute brain CT, brain Doppler were normal due to suspected and amikacin Adverse reactions, so disable the drug, the symptoms gradually eased until disappear. Following the use of penicillin treatment 12d, pneumonia cured and discharged, the symptoms disappear.