脑出血并发假性腹泻1例
Abstract
<正>患者女,55岁。入院前24 d因左侧基底节出血在当地医院行血肿穿刺引流术,术后卧床住院2周后出现不自主排便,为黄色稀便,10余次/d,每次量少。给予抗炎、止泻支持治疗,腹泻次数未见减少,遂来我院。入院查体:神清,运动性失语,右侧肢体轻瘫。腹平软,未触及压痛及反跳痛。便常规、便真菌涂片及培养均未见异常。故给予止泻、调节肠道菌群治疗。2周后腹泻症状仍未见明显好转。再请神经内科会诊除外神经性大便失禁。行肛门指诊,进指7 cm后,可触及质硬粪块,退指大量粪便残余。腹部CT检查提示结肠、直肠肠腔内容物较多。追问患者病
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