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报告18例成人急性菌痢,均经常规疗法治疗,疗效不佳,改用0.9%氯化钠250ml清洁灌肠后,再用0.2%诺氟沙星葡萄糖注射液100ml作保留灌肠,每日二次。选用大号肛管,肛管插入深度15~20cm。肛管插入肛门前先涂少许液体石蜡或凡士林,然后缓慢插入。有发热者可在肛注液中加入地塞米松5mg;有恶心呕吐者可在肛注液中加入维生素B_050mg。用药2天体温正常、临床症状及体征消失,粪常规正常者13例;另3例于48小时后大便常规正常;2例腹泻次数明显减少,继续经肛门给
18 cases of adult acute bacillary dysentery were reported, were treated by conventional therapy, poor efficacy, use of 0.9% sodium chloride 250ml clean enema, and then 0.2% norfloxacin glucose injection 100ml retention enema twice a day . Use large anal tube, anal tube insertion depth 15 ~ 20cm. Before anal anal insertion, apply a small amount of liquid paraffin or petroleum jelly and insert slowly. A fever in the anal fluid can be added dexamethasone 5mg; nausea and vomiting in the anal fluid can be added vitamin B_050mg. Two days after treatment, body temperature was normal, clinical symptoms and signs disappeared, normal feces were 13 cases; the other three cases were normal after 48 hours of stool; 2 cases of diarrhea significantly reduced, continue to be anal