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患者,男,73岁,因多饮、多尿、多食2月,排尿困难10天于1989年3月26日入院、查体:T36.5℃,神萎、消瘦,心肺正常,因尿潴留在院外置保留尿管。直肠指检:前列腺增生变硬、中央沟消失,核桃大。尿RBC++,WBC5～10个/高倍镜,尿糖++。血糖12mmol/L。B超示前列腺增生。诊断Ⅰ型糖尿病、前列腺肥大尿潴留。予氟哌酸、优降糖、前列康治疗,硼酸液冲洗膀胱。入院第2天查尿见大量酵母样菌,培养出白色念球菌,菌落计数10~5/ml。立即停氟哌酸,加制霉菌素治疗7天无效。4月3日口服酮康唑0.2,1日3
Patients, male, 73 years old, due to drink more, more urine, more food in February, dysuria 10 days in March 26, 1989 admission, physical examination: T36.5 ℃, Shen Wei, weight loss, Retention in the hospital retention catheter. Rectal examination: Prostatic hyperplasia hardens, the central groove disappears, large walnuts. Urine RBC ++, WBC5 ~ 10 / high power, urine sugar ++. Blood sugar 12mmol / L. B ultrasound shows benign prostatic hyperplasia. Diagnosis of type 1 diabetes, prostatic hypertrophy urinary retention. To norfloxacin, glibenclamide, Qianliekang treatment, boric acid flushing the bladder. Check the urine on the 2nd day of admission to see a large number of yeast-like bacteria, culture of Candida albicans, colony count 10 ~ 5 / ml. Norfloxacin immediately, plus nystatin treatment for 7 days is invalid. April 3 oral ketoconazole 0. 2, 1 3