论文部分内容阅读
耻骨上膀胱穿刺是一常用方法,并发症少见,偶可致腹壁下血肿。穿刺引起骨髓炎未有报告过。作者报告1例:患者53岁,女性,因反复泌尿道感染而作耻骨上膀胱穿刺。操作时,针头擦伤耻骨。尿标本有大肠杆菌生长。穿刺后的第2和第3天分别作静脉肾盂造影和膀胱镜检查均正常。当天患者出现高热,3次血培养均有大肠杆菌生长。经用庆大霉素6天后体温消退。14天后出现左耻骨骨髓炎的临床体征,2周后骨髓炎的 X 线征明显,骨组织活检分离到大肠杆菌。继
Suprapubic bladder puncture is a common method, rare complications, even caused by abdominal wall hematoma. Puncture caused by osteomyelitis has not been reported. The authors report a case: 53-year-old patient, female, due to recurrent urinary tract infection for suprapubic bladder puncture. Operation, the needle abrasions pubis. Urine specimens have E. coli growth. The second and third days after puncture were normal for intravenous pyelography and cystoscopy. The patient showed high fever on the day, three blood cultures have E. coli growth. After 6 days with gentamicin subsided. 14 days after the clinical symptoms of left osteomyelitis, 2 weeks after osteomyelitis X-ray obvious, bone tissue biopsy isolated to E. coli. Following