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男子咳嗽乱服抗生素 半年后肺部竟成棉花状

2017-08-04 10:15:40   中国青年网

楚天都市报8月3日讯 因反复咳嗽,42岁的李先生自己买来口服抗生素。吃了半年后,李先生的肺竟成了“棉花状”。专家说,这是由于长期大量乱服用抗生素导致的菌群失调后的霉菌感染。

7月30日,身体抱恙的李先生前往武汉市第三医院就诊。他表示,自己咳嗽了两个多星期,且中途自己也在服用抗生素,但是并未见好转。武汉市第三医院呼吸内科医生袁竹青说,拍片检查发现,李先生的肺已经成了“棉花状”,这是霉菌感染。经过询问才得知,半年以来,他只要一咳嗽就前往小药店购买抗生素吃,一次吃就2个星期左右。

“这是滥用抗生素造成的结果。”袁竹青说,李先生感冒时候出现咳嗽,应该对症治疗。但不分青红皂白上来用抗生素,且一开始用的就是第三代头孢类抗生素,这是抗生素中的高级药,这样不仅容易造成耐药,长时间抗菌治疗还容易使体内菌群失调,霉菌乘机大量繁殖。而霉菌感染相对而言又是比较难控制的,尤其是多发性的还可能使机体抵抗力严重下降,甚至危及生命。

袁竹青说,在呼吸内科很多病人自己滥用抗生素。如果非细菌引起的感冒发热用了抗生素,不仅对病毒没有杀灭作用,还可能因为滥用抗生素导致细菌产生抗药性。当真的遭遇细菌感染时,再用抗生素就可能因为细菌耐药性使药效减弱,疾病难治,此时必须加大药物剂量或联合用药,这样一来不仅影响治疗效果,还会使药物副作用增大,甚至引起不良反应,比如肝肾损坏等。药物在体内通过肝肾排泄,在肾脏内的浓度达到最高,所有药物的毒性可能都聚集在肾脏里。

医生表示,大部分感冒都是由病毒感染所致,滥用抗生素对病毒没有杀灭作用。因此,如果患感冒没有并发细菌感染,并不需要服用抗生素。相反,多喝水、多休息,饮食清淡,或适当服用中成药,比如感冒冲剂、板蓝根冲剂、维C银翘片等,这些药物对病毒有抑制作用。

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