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术后霉菌性肠炎较少见,处理不当死亡率较高。现结合典型案例,就其诊治问题分析如下。患者男,51岁。因患胆管下端癌,连用10天新霉素(共计23g)行肠道准备后行胰、十二指肠切除术。手术经过顺利。术后第4天出现腹泻,当天排稀水样便12次,约2,000ml,便前腹痛,便常规检查仅有0～2个脓球。按肠炎投予收敛剂及红霉素等治疗,腹泻不但未能控制反而加重,且发热39℃左右。术后第6天在排除痢疾及盆腔炎症情况下,以伪膜性肠炎投以克咪唑每日3g口服,及每日用正常人混悬大便保留灌肠
Postoperative mycotic enteritis is less common, with poor handling and higher mortality. Now combined with typical cases, the diagnosis and treatment of their problems are as follows. Patient male, 51 years old. Due to the lower end of the bile duct cancer, even with 10 days neomycin (total 23g) for bowel preparation for pancreatic and duodenal resection. Surgery went well. Diarrhea occurred on the fourth day after operation. On the day of discharge, 12 samples of water were discharged, about 2,000 ml. Before the abdominal pain, only 0 to 2 pus balls were routinely examined. According to enteritis astringent and erythromycin administration, diarrhea not only failed to control but aggravated, and fever about 39 ℃. 6 days after surgery in the exclusion of dysentery and pelvic inflammatory disease, to pseudomembranous enteritis cast 3g orally per day, and daily use of normal stool retention enema