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茶碱广泛用于治疗阻塞性呼吸道疾病患者。本文报告2例患者因使用茶碱引起尿潴留。2例均为男性,年龄62和58岁,均有前列腺肥大,氨茶碱用量1,000～1,800 mg/d。病例介绍:患者男性,62岁,因进行性心绞痛施行心脏外科手术而入院。系统回顾显示尿流轻度变细和排尿不畅。体检仅发现前列腺中度肥大。心脏手术后恢复顺利。第10天,患者咳出大量血痰。2天后,患者开始静脉注射氨茶碱250mg 和水剂青霉素60万 U,各86 h。静注第3剂氨茶碱后不久,患者诉说恶心,“下腹部有一瘤”,尿频,和尿量少。患者的膀胱可扪及。停用氨茶碱,插管
Theophylline is widely used in patients with obstructive airway disease. This article reports 2 patients due to the use of theophylline cause urinary retention. Both patients were male, aged 62 and 58 years, with enlarged prostatic hypertrophy and aminophylline doses ranging from 1,000 to 1,800 mg / day. Case description: The patient, male, aged 62, was admitted to hospital for angina undergoing cardiac surgery. Systematic review showed a slight decrease in urinary flow and poor urination. Physical examination found only moderate hypertrophy of the prostate. Heart surgery recovered smoothly. On the 10th day, the patient coughed up a lot of bloody sputum. Two days later, patients started intravenous aminophylline 250mg and water penicillin 600,000 U, each 86h. Shortly after intravenous injection of the third dose of aminophylline, the patient complained of nausea, “there was a tumor in the lower abdomen,” frequent urination, and less urine volume. The patient’s bladder palpable. Disable aminophylline, intubation