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1988年4月至1994年8月,我们收治前列腺增生症自行导尿致尿路感染患者23例,现将治疗体会总结如下。 临床资料:本组患者年龄61～86岁,平均74岁。前列腺增生病史2个月至6年。曾因尿频重、尿流变细及尿潴留等口服前列康、乙烯雌酚、竹林胺等,并曾在基层医院行导尿治疗。此后患者常自行导尿,导致上行性尿路感染。除膀胱刺激症状外,伴不同程度发热,血白细胞增高,尿常规检查有红细胞、白细胞或脓细胞。膀胱B超检查示膀胱粘膜毛糙,膀胱内有絮状物。 治疗方法与结果:①控制感染:首先静脉用足量抗生素,一般用氨苄或羧苄青霉素、氟哌酸、灭滴灵;肾功能较好可选用卡那霉素、丁胺卡那霉素、庆大霉素等,以后应根据血培养及药物敏感试验结果,针对性地选用抗生素。②手术治疗:尿路感染控制,血、
From April 1988 to August 1994, we treated 23 cases of urinary tract infection caused by benign prostatic hyperplasia and catheterization. The treatment experience is summarized as follows. Clinical data: The patients aged 61 to 86 years, mean 74 years old. Prostatic hyperplasia history of 2 months to 6 years. Have been due to frequent urination, urinary flow and urinary retention and other oral Qianliekang, diethylstilbestrol, bamboo Lin amine, and catheterization in the primary hospital treatment. Since then, patients often self-catheterization, leading to urinary tract infection. In addition to bladder irritation, with varying degrees of fever, white blood cells increased, routine examination of red blood cells, white blood cells or pus cells. Bladder B ultrasound showed rough bladder mucosa, bladder floc. Treatment methods and results: ① control of infection: First of all intravenous antibiotics, usually with ampicillin or carbenicillin, norfloxacin, metronidazole; better renal function can choose kanamycin, amikacin, Gentamicin, etc., should be based on blood culture and drug sensitivity test results, the targeted use of antibiotics. ② surgical treatment: urinary tract infection control, blood,