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1 临床资料 【例1】女,18岁。因排尿不畅伴发热10天入院。经B超、静脉肾盂造影、肾图、尿常规、尿素氮等检查,诊断为神经源性膀胱、双肾积水、慢性肾功能不全及泌尿系感染。给予头孢唑林钠3g,每日2次,静脉滴注。用药后第3天出现间歇性四肢抽搐,双目上翻,颈部后仰,流涎,呼之不应,持续约10分钟自行缓解、停药后上述症状消失,随访3年未再发作。 【例2】 男,38岁。患者于8年前因腰椎外伤致双下肢瘫痪,不能自行排尿,需定时行下腹部按摩以助排尿。半个月前无明显诱因发热,体温39.8℃,在当地医
1 clinical data [Example 1] Female, 18 years old. Poor urination due to fever with admission for 10 days. B ultrasound, intravenous pyelography, renal mapping, urine routine, urea nitrogen and other tests, diagnosis of neurogenic bladder, hydronephrosis, chronic renal insufficiency and urinary tract infections. Cefazolin sodium 3g, 2 times a day, intravenous infusion. On the third day after treatment, intermittent extremities convulsions, double eyes on the turn, neck back, salivation, call should not continue for about 10 minutes to ease themselves, after stopping the above symptoms disappear, no follow-up of 3 years follow-up. [Example 2] Male, 38 years old. Patients with paraplegia caused by lumbar trauma 8 years ago, can not urinate on their own, to be regularly scheduled abdominal massage to help urination. Half a month ago no obvious incentive to fever, body temperature 39.8 ℃, in the local medical