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甘露醇口服治疗老年性便秘和临床检查前肠道灌洗等,由此引起的副作用报导较少,兹将2例报告如下。例1男,64岁,患老年性便秘。有冠心病史,否认肝、肾疾患史。因长年便秘服用多种药物疗效差,于1989年12月口服20%甘露醇125ml 后,阵发性腹痛伴频繁腹泻,为水样便,达10余次,量多。24小时尿量355ml。体检:BP11.2/6.8kPa,表情淡漠。皮肤、粘膜明显脱水。双肺未见异常。心率112次/分,律齐,心音低钝。脐周压痛,肝脾未触及,肠鸣音亢进。RBC4.41×10~(12)/L,Hb120g/L,WBC4.9×10~9/L,N0.58,L0.42。便常规;
Mannitol oral treatment of senile constipation and clinical examination of intestinal lavage before, resulting in fewer side effects reported, I hereby report two cases are as follows. Example 1 Male, 64 years old, suffering from senile constipation. Coronary heart disease history, deny the history of liver and kidney disease. Constipation for many years due to poor efficacy of taking a variety of drugs, in December 1989 oral 20% mannitol 125ml, paroxysmal abdominal pain with frequent diarrhea, watery stools, up to 10 times, the amount of more. 24-hour urine output 355ml. Physical examination: BP11.2 / 6.8kPa, indifferent expression. Skin, mucous membranes significantly dehydrated. No abnormal lungs. Heart rate 112 beats / min, law Qi, low heart sound blunt. Umbilical tenderness, liver and spleen not touched, bowel sounds hyperthyroidism. RBC4.41 × 10-12 / L, Hb120g / L, WBC4.9 × 10-9 / L, N0.58, L0.42. It is routine