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引起前列腺感染的较常见的致病菌为葡萄球菌、链球菌和大肠杆菌等。它们侵入前列腺的途径,有血行性感染、淋巴性感染和直接感染。但直接损伤以及药物作用所致急性前列腺炎比较少见。我科曾诊治因痔核注射中药后引起急性前列腺炎3例。1.3例均曾因内痔注射中药治疗引起,发病时间、临床表现相似,都有不同程度的血尿、尿路感染及尿道刺激症,白细胞增高,肛门指诊前列腺局部有明显压痛,可诊断为急性前列腺炎。3例分别于发病后1周至1个月做前列腺按摩,前列腺液常规检查异常,说明已转为亚急性或慢性前列腺炎。2.2例都有明显的肉眼血尿,甚至有血块排出。这可能有以下原因:(1)注射针头刺入过深,直按损伤前列腺及后尿道引起出血。
The most common pathogenic bacteria causing prostate infection are Staphylococcus aureus, Streptococcus and Escherichia coli. The way they invade the prostate, hematogenous infections, lymphatic infections and direct infection. However, direct injury and drug induced acute prostatitis is relatively rare. My department had diagnosis and treatment of hemorrhoids caused by injection of Chinese medicine in 3 cases of acute prostatitis. 1.3 cases were caused by internal hemorrhoids injection of Chinese medicine treatment, the onset time, clinical manifestations are similar, have varying degrees of hematuria, urinary tract infections and urinary tract irritation, leukocytosis, anal prompting local pruritus significant tenderness can be diagnosed as acute prostate inflammation. Three cases were made after 1 week to 1 month prostate massage, routine examination of prostatic fluid abnormalities, that has been converted to subacute or chronic prostatitis. 2.2 cases have obvious gross hematuria, and even blood clots. This may be for the following reasons: (1) injection needle too deep piercing, straight injury caused by bleeding in the prostate and urethra.