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舒普深致中重症急性胰腺炎严重凝血功能障碍1例报告

娄丽丽 赵旭 王思睿 郭晓林

引用本文:
Citation:

舒普深致中重症急性胰腺炎严重凝血功能障碍1例报告

DOI: 10.3969/j.issn.1001-5256.2017.01.038
详细信息
  • 中图分类号: R576

Cefoperazone/sulbactam sodium-induced severe coagulation disorder in treatment of moderately severe acute pancreatitis: a case report

  • 摘要:

    <正>舒普深是临床上比较常用的带有β-内酰胺酶抑制剂(舒巴坦钠)的三代头孢菌素,在多年临床抗生素敏感性调查中,始终具有良好的抗菌敏感性。但近年来应用舒普深导致凝血障碍等问题逐渐受到临床医生的关注,其主要机制为引起部分凝血因子缺乏,从而导致凝血功能异常,表现为PT、活化部分凝血活酶时间(APTT)延长,严重时可致肉眼血尿、皮下出

     

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    [2] Group of Pancreas Surgery,Chinese Society of Surgery,Chinese Medical Association.Guidelines for the management of acute pancreatitis(2014)[J].J Clin Hepatol,2015,31(1):17-20.(in Chinese)中华医学会外科学分会胰腺外科学组.急性胰腺炎诊治指南(2014)[J].临床肝胆病杂志,2015,31(1):17-20.
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    [8]LI DH,SUN B.Secondary infection in severe acute pancreatitis and reason able application of antibiotics[J].World Chin J Dig,2005,13(13):1574-1576.(in Chinese)李德辉,孙备.重症急性胰腺炎继发感染及抗生素的合理应用[J].世界华人消化杂志,2005,13(13):1574-1576.
    [9]ZHOU Y,ZHANG J,GUO B,et al.Liquid chromatography/tandem mass spectrometry assay for the simultaneous determination of cefoperazone and sulbactam in plasma and its application to a pharmacokinetic study[J].J Chromatogr B Analyt Technol Biomed Life Sci,2010,878(30):3119-3124.
    [10]WANG Y,DING N.Clinical analysis and countermeasures of cefoperazone sodium and sulbactam sodium-induced coagulation abnormalities[J].J Clin Exp Med,2015,14(16):1397-1399.(in Chinese)王宇,丁宁.单用头孢哌酮钠舒巴坦致凝血功能异常的临床分析及对策[J].临床和实验医学杂志,2015,14(16):1397-1399.
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  • 出版日期:  2017-01-20
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