论文部分内容阅读
1病例资料患者,男性,61岁,因“腰腹部胀痛伴血尿1周,加重3天”于院外就诊,术前相关检查(小便培养未见细菌生长)及术前准备后第6天,在全麻下行右侧输尿管镜气压弹道碎石术、支架植入术、导尿术,手术后第4天出院。出院当日出现右侧腰痛、尿痛、血尿,随后伴畏寒、发热,经自服抗感染(头孢类)药物治疗无效,出院后第5天再次到该院泌尿科就诊,诊断为“尿路感染”收住院治疗。小便培养:一般细菌培养及鉴定,屎肠球菌细
1 Case data Patients, male, 61 years old, due to “waist and abdomen pain with hematuria for 1 week, aggravating 3 days ” in the hospital, preoperative related examination (no growth of bacteria in urine culture) and preoperative preparation of 6 Day, right ureteroscopic pneumatic lithotripsy under general anesthesia, stent implantation, catheterization, discharged after 4 days of surgery. Discharged on the right side of the day appeared low back pain, dysuria, hematuria, followed by chills, fever, self-serving anti-infectives (cephalosporins) drug treatment ineffective, again on the 5th day after discharge to the hospital urology clinic, diagnosed as “urine Road infection ”received hospital treatment. Urine culture: general bacterial culture and identification, Enterococcus faecalis fine