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经尿道的任何器械操作,均有发生尿道热的可能。若对此症认识不足,或处理不当,可导致严重后果。国内仅见万氏报告过,由此发展成感染性休克者9例。我科于1957～1978年间施行尿道扩张术及膀胱镜检查术约3,000余人次,发生尿道热18例,现报告于下。临床资料一、一般情况:本组患者均系男性,年龄21～57岁。原发病:外伤性尿道狭窄6例,尿路结石5例,尿路结核2例,淋病性尿道狭窄、慢性肾盂肾炎、慢性膀胱炎、肾下垂和膀胱癌各1例。尿道热的诱因;膀胱镜检查术9例,尿道扩张术7例,经尿道膀胱灌注(5%弱蛋白银液)和膀胱造影各1例。
Any transurethral device operation, have the possibility of urethral fever. Inadequate knowledge of the disease, or improper handling, can lead to serious consequences. Wan only reported that the domestic report, which developed into septic shock in 9 cases. Our department in 1957 ~ 1978 urethral dilatation and cystoscopy about more than 3,000 people, 18 cases of urethral fever, are reported below. Clinical data First, the general situation: This group of patients were male, aged 21 to 57 years. Primary disease: traumatic urethral stricture in 6 cases, urinary tract stones in 5 cases, urinary tract tuberculosis in 2 cases, gonorrhea urethral stricture, chronic pyelonephritis, chronic cystitis, renal ptosis and bladder cancer in 1 case. Urethral heat incentives; cystoscopy in 9 cases, urethral dilatation in 7 cases, transurethral bladder perfusion (5% weak silver protein solution) and cystography in 1 case.