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[硫酸庆大霉素在骨髓毒性粒细胞缺乏症患者中的有效性和耐受性]

[Gentamycin sulfate effectiveness and tolerance in patients with myelotoxic agranulocytosis].

作者信息

Baranov A E, Shishkova T V, Pozdniakova V P, Bodunkova L E, Nadezhina N M

出版信息

Antibiotiki. 1979 Aug;24(8):626-32.

PMID:485114
Abstract

Patients with myelotoxic agranulocytosis were treated with gentamicin administered intravenously as drop-wise infusions in a dose of 5 mg/kg body weight a day every 8 hours. The treatment course consisted of 7--24 days. No toxic reactions were observed. The therapeutic efficacy of gentamicin depended on the neutrophilic level and amounted to 50--60 per cent when the drug was used without identification of the causative agent. The prophylactic use of gentamicin decreased the infection incidence in patients with myelotoxic agranulocytosis, while the prophylactic efficacy of gentamicin was evident only when the number of the granulocytes was higher than 100/mm3 of the blood.

摘要

对骨髓毒性粒细胞缺乏症患者,采用庆大霉素静脉滴注治疗,剂量为每日5mg/kg体重,每8小时一次。疗程为7 - 24天。未观察到毒性反应。庆大霉素的治疗效果取决于中性粒细胞水平,在未明确病原体而使用该药时,疗效达50% - 60%。庆大霉素的预防性使用降低了骨髓毒性粒细胞缺乏症患者的感染发生率,而仅当粒细胞数高于每立方毫米血液100个时,庆大霉素的预防效果才明显。

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