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急性细菌性痢疾治疗,常规的多采用口服、肌注和静脉给药,但往往出现程度不同的胃肠道反应症状,近两年来我们采用自拟克痢灵液保留灌肠,治疗急性菌痢,取得了很好效果,报告如下。 1 配制与用法 1.1 处方 氟哌酸6g,痢特灵4g,庆大霉素240万u,强的松200mg,复方樟脑酊60ml,生理盐水400ml。 1.2 制法 取痢特灵、强的松,充分研细后加入氟哌酸胶囊内药粉,倒人生理盐水瓶内(起盖后倒去100ml),再加入庆大霉素和复方障脑酊即可备用。 1.3 用法 患者取左侧屈曲卧位,用30ml注射器乳头接一中号导尿管(无菌),抽取药液25ml,以石蜡棉球擦涂尿管远端,用镊子持尿管慢慢插入肛门深约10~12cm,推药后拔出,压一卫生纸块,让其卧床30min再离去。儿童用药量及插入肛门管的深度要酌减,每天1次,4天为一疗程。 2 临床资料
Acute bacterial dysentery treatment, the conventional use of oral, intramuscular and intravenous administration, but often appear to varying degrees of symptoms of gastrointestinal reactions, the past two years we use self-Ke Lishui retention enema, the treatment of acute bacillary dysentery, Achieved good results, the report is as follows. 1 preparation and usage 1.1 prescription norfloxacin 6g, furazolidone 4g, gentamicin 2.4 million u, prednisone 200mg, compound camphor tincture 60ml, saline 400ml. 1.2 system method to take furazolidone, prednisone, after careful research and join the norfloxacin capsule powder, poured into the saline bottle (after the lid down to 100ml), then add gentamicin and compound barrier brain tincture Ready to use. 1.3 Usage of patients with left lateral flexion position, with a 30ml syringe nipple then a medium catheter (sterile), extract the solution 25ml to wipe the distal end of the tube with a paraffin cotton ball, with a forceps holding the catheter slowly inserted Anus deep about 10 ~ 12cm, pull out after pushing the medicine, the pressure of a piece of toilet paper, let the bed 30min and then leave. Children’s medication and the depth of the insertion into the anal canal to reduce, once daily, 4 days for a course of treatment. 2 clinical data