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我院使用庆大霉素静滴抗感染时,先后有4例引起急性尿潴留,报道如下。 1 病例 例1:男,58岁。疑胆道感染入院,以青霉素240万u/d分次肌注及庆大霉素24万u/d静滴,治程第4天,患者诉排尿困难。体查:膀胱充盈,B超膀胱无结石影,前列腺轻度肥大,尿潴留,疑庆大霉素的副作用而停用该药,停药后7小时许,配合膀胱区按压,逐渐恢复排尿。 例2:男,82岁。因冠心病并肺部感染入院,以青霉素240万u/d分次肌注及庆大霉素24万u/d静滴,治程第3天,出现排尿困难并尿潴留,
Gentamicin intravenous infusion of anti-hospital in our hospital, there have been 4 cases of acute urinary retention, reported as follows. Case 1: Male, 58 years old. Suspected biliary tract infection admitted to penicillin 2.4 million u / d intramuscular injection and gentamicin 24 million u / d intravenous infusion, the first 4 days of treatment, patients complained of dysuria. Physical examination: Bladder filling, B super-bladder no stone shadow, mild prostate hypertrophy, urinary retention, suspected side effects of gentamicin and disable the drug, 7 hours after stopping Xu, with the bladder area press, and gradually restore urination. Example 2: Male, 82 years old. Due to coronary heart disease and pulmonary infection admitted to penicillin 2.4 million u / d intramuscular injection and gentamicin 24 million u / d intravenous infusion, the first 3 days of treatment, dysuria and urinary retention,