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src="https://file.bohe.cn/fhfile1/M00/54/4D/oYYBAGkn0kGAONQSAAT2hcD-wc8243.jpg"></p><p>1、藥物刺激胃腸黏膜</p><p>部分抗生素如阿莫西林膠囊、頭孢克肟顆粒等可能直接刺激胃腸黏膜，導(dǎo)致黏膜充血水腫，引發(fā)腹痛和稀便。這類腹瀉通常較輕，停藥后可緩解。用藥期間建議避免辛辣食物，必要時(shí)可遵醫(yī)囑聯(lián)用蒙脫石散保護(hù)腸黏膜。</p><p>2、腸道菌群失衡</p><p>廣譜抗生素如鹽酸左氧氟沙星片、克拉霉素片會(huì)抑制腸道正常菌群，使致病菌過度繁殖，出現(xiàn)水樣便伴腹脹。可遵醫(yī)囑補(bǔ)充雙歧桿菌三聯(lián)活菌膠囊調(diào)節(jié)菌群，腹瀉嚴(yán)重時(shí)需停用原抗生素。</p><p>3、過敏反應(yīng)</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/9C/51/ooYBAGkn0kGAULvXAAdaOtiiSIs193.jpg"></p><p>對(duì)青霉素類或磺胺類藥物過敏時(shí)，除皮疹外可能出現(xiàn)黏液膿血便等過敏性腸炎表現(xiàn)。如服用阿莫西林克拉維酸鉀片后出現(xiàn)此類癥狀，需立即停藥并使用氯雷他定片抗過敏。</p><p>4、個(gè)體差異</p><p>兒童、老年人或胃腸功能較弱者更易發(fā)生藥物性腹瀉。如兒童服用頭孢丙烯顆粒后因代謝較慢導(dǎo)致藥物蓄積，可能引發(fā)持續(xù)性腹瀉，家長(zhǎng)需密切觀察排便情況并及時(shí)復(fù)診。</p><p>5、藥物相互作用</p><p>抗生素與某些中藥或抗酸藥同服可能加重腹瀉。例如同時(shí)使用諾氟沙星膠囊和含鞣酸的中成藥，會(huì)形成不溶性復(fù)合物刺激腸道。用藥前應(yīng)告知醫(yī)生全部在服藥物。</p><p>出現(xiàn)藥物相關(guān)性腹瀉時(shí)應(yīng)記錄排便頻率和性狀，避免高脂高纖維飲食，適量飲用淡鹽水預(yù)防脫水。若腹瀉超過3天或伴發(fā)熱、血便，需立即就醫(yī)進(jìn)行便常規(guī)和血常規(guī)檢查。切勿自行服用止瀉藥掩蓋病情，需由醫(yī)生評(píng)估后決定是否更換抗生素或進(jìn)行對(duì)癥治療。</p></div> <div id="lfqr6l5uj" class="f24 fc9 lh40 ta-j">免責(zé)聲明：本頁(yè)面信息為第三方發(fā)布或內(nèi)容轉(zhuǎn)載，僅出于信息傳遞目的，其作者觀點(diǎn)、內(nèi)容描述及原創(chuàng)度、真實(shí)性、完整性、時(shí)效性本平臺(tái)不作任何保證或承諾，涉及用藥、治療等問題需謹(jǐn)遵醫(yī)囑！請(qǐng)讀者僅作參考，并自行核實(shí)相關(guān)內(nèi)容。如有作品內(nèi)容、知識(shí)產(chǎn)權(quán)或其它問題，請(qǐng)發(fā)郵件至suggest@fh21.com及時(shí)聯(lián)系我們處理！</div> <div id="lfqr6l5uj" 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