气肿性膀胱炎2例报告

Emphysematous cystitis: two cases report

本文报道2例老年女性患者,以高热为主要症状就诊。既往均有糖尿病病史。就诊时血白细胞、降钙素原等感染指标均明显升高,尿细菌培养均提示大肠埃希菌生长,CT检查示膀胱壁增厚伴积气。2例均诊断为气肿性膀胱炎。予留置导尿,胰岛素控制血糖,并根据药敏试验结果应用敏感抗菌药物治疗。经保守治疗后2例均治愈。

The 2 patients were both aged females with medical history of diabetes mellitus.The chief complaints were both hyperpyrexia.Laboratory tests presented markedly elevated white blood cells and C-reactive protein,indicating severe systemic infections.Urine culture confirmed the growth of Escherichia coli.CT scan revealed thickened bladder wall with intraluminal and interstitial collections of gas.After the diagnosis of emphysema cystitis was established,conservative treatments including bladder drainage,strict glycemic control and sensitive antibiotics were administered timely.Both of the 2 patients got fully recovery after standard treatment.