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自1993年以来,收治经多方治而不愈而呈扩散加重趋势的淋病患者58例,均有不洁性交史,大部分无典型龟头红肿或尿道口化脓病史,报道如下.1 临床资料1.1 一般资料 男40例,女18例,其中幼女3例,年龄2～45岁.国内被传染者48例,国外被传染者10例.1.2 实验室检查 尿道分泌物,精液涂片或培养找到淋球菌者20例,淋球菌PCR阳性者38例,合并衣原体PCR阳性者占78%,支原体阳性者89%.检查方法:部分男性尿道分泌物,精液或前列腺液,如为阴性结果,则取妻子或女性性伙伴阴道分泌物检查,阳性结果也可作为诊断依据.有2例男性经多次检查为阴性,但有不洁性交史,而又疑小女儿有被传染的可能,则用绵签取3岁小儿女阴道分泌物检查,其结果为阳性.
Since 1993, 58 cases of gonorrhea patients who have undergone multi-party medical treatment without any hesitation have the tendency to spread aggravating. They all have unclean sexual intercourse history, most of them have no typical history of glaucoma or urethral suppurative disease, and are reported as follows.1 Clinical data 1.1 General Data of 40 males and 18 females, of which 3 were young girls, aged 2 to 45 years.Chinese 48 were infected, 10 were infected abroad.1.2 Laboratory examination of urethral secretions, semen smears or culture to find Neisseria gonorrhoeae 20 cases, Neisseria gonorrhoeae PCR positive in 38 cases, PCR combined with chlamydia positive 78%, mycoplasma positive 89% .Methods: Some male urinary secretions, semen or prostatic fluid, if the result is negative, then take his wife or Female sexual partner vaginal discharge examination, positive results can also be used as a diagnostic basis.Among 2 cases of men after many negative tests, but unclean sex history, and suspect the daughter may have been infected with the cotton sign 3-year-old children vaginal discharge examination, the result was positive.