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近年来笔者用氟哌酸加利多卡因潴留灌肠治疗细菌性痢疾取得较好的效果,现报道如下:一、临床资料病例来自1994年4月~1995年10月的门诊病人,共98例。随机设30例静脉滴注作对照组。全部病例均有里急后重,脓血便,腹痛和发热。二组病例年龄均在6个月以上至80岁之间。其中灌肠组10岁内29例,11~16岁14例,17~60岁42例,60岁以上13例。男性71例,女性27例。静脉组10岁以内8例,11~16岁4例,17~60岁13例,60岁以上5例。男性21例,女性9例。二、治疗方法灌肠组成人用氟哌酸0.4g、2%利多卡因5ml,冷开水加至30ml一次潴留灌肠。儿童每kg体重取配制液1ml,每24小时一次。静脉组成人用5%葡萄糖氟哌酸注射液100ml(每百毫升含氟哌酸0.2g),静脉滴注,儿童每kg体重用葡萄氟哌酸注射液3ml,每12小时一次。
In recent years, the author with norfloxacin plus lidocaine retention enema treatment of bacterial dysentery to achieve better results are reported below: First, the clinical data from the patient in April 1994 ~ October 1995 outpatients, a total of 98 cases. Randomly set 30 cases of intravenous drip for the control group. All cases have tenesmus, pus and blood, abdominal pain and fever. The two groups of patients were more than 6 months old to 80 years old. Among them, there were 29 cases in 10-year-old group, 14 cases in 11 ~ 16 years old, 42 cases in 17 ~ 60 years old and 13 cases in 60 years old. 71 males and 27 females. Intravenous group 8 cases within 10 years of age, 11 to 16 years old in 4 cases, 17 to 60 years in 13 cases, 5 cases over the age of 60. 21 males and 9 females. Second, the treatment of enema group with norfloxacin 0.4g, 2% lidocaine 5ml, cold water added to 30ml a retention enema. Children per kg of body weight to take liquid 1ml, once every 24 hours. Intravenous group with 5% glucose norfloxacin injection 100ml (per 100 ml florfenic acid 0.2g), intravenous infusion, children per kg body weight with grapefloxacin injection 3ml, once every 12 hours.