Smith I, Carr N, Corrado O J, Young A
Department of Geriatric Medicine, Royal Free Hospital, Hampstead, London.
Age Ageing. 1987 Sep;16(5):328-30. doi: 10.1093/ageing/16.5.328.
We describe a patient who developed rectal ulceration after an apparently minor injury caused during the administration of a 130 ml 'disposable' phosphates enema. Treatment included parenteral antibiotics and a colostomy. Minor degrees of injury by rectal procedures are common. Rectal necrosis is a complication of injury during the administration of phosphates enemata which, although rare, deserves greater awareness. Painless rectal bleeding may be the only sign of injury and is an indication for thorough and repeated rectal examinations and early intervention.
我们描述了一名患者，在使用130毫升“一次性”磷酸盐灌肠剂时受到明显轻微损伤后出现直肠溃疡。治疗包括肠外抗生素和结肠造口术。直肠操作造成的轻度损伤很常见。直肠坏死是磷酸盐灌肠剂给药过程中损伤的一种并发症，虽然罕见，但值得提高认识。无痛性直肠出血可能是损伤的唯一迹象，是进行彻底和反复直肠检查及早期干预的指征。
