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急性菌痢在临床引起尿潴留者实属罕见,现将笔者所遇2例报告如下。例1,男性,23岁。因发热,腹痛、解粘液脓血便伴明显里急后重2天于1987年9月13日入院。体查:T38.4℃,BP96/60(?)mHg。轻度脱水。腹平软,左下腹压痛,肠鸣音活跃。大便常规:血便水样,WBC10～25,RBC 多,脓球0～成堆/HP。大便培养:福氏痢疾杆菌。诊断:急性菌痢。予庆大霉素、痢特灵治疗。次日出现急性尿潴留。手指点按关元穴、气海穴后,解出小便约500ml。查尿常规:黄清,蛋白(-),WBC0～1/HP。以后仍排尿不畅,需费力方能解出。入院3天后,随着炎症控制,症状缓解,尿潴留及排尿困难改善。此时仍继用庆大霉素等药物。
Acute bacillary dysentery in patients with clinical causes of urinary retention is rare, I now encounter two cases reported as follows. Example 1, male, 23 years old. Because of fever, abdominal pain, mucus pus and blood was accompanied by a clear tenesmus heavy 2 days in September 13, 1987 admitted. Physical examination: T38.4 ℃, BP96 / 60 (?) MHg. Slight dehydration. Abdomen soft, left lower quadrant tenderness, bowel sounds active. Stool routine: bloody stools, WBC10 ~ 25, RBC, pus ball 0 ~ piles / HP. Stool culture: Shigella flexneri. Diagnosis: acute bacillary dysentery. To gentamicin, furazolidone treatment. Acute urinary retention the next day. Finger point Guan Yuan, Qi Hai point, solution of about 500ml urine. Check urine routine: Huang Qing, protein (-), WBC0 ~ 1 / HP. Still poor urination after the effort required to be able to solve. Three days after admission, with the control of inflammation, the symptoms were relieved, urinary retention and dysuria improved. At this time still use gentamicin and other drugs.