现代医药卫生Issue(12)：1791-1792,1795,3.DOI:10.3969/j.issn.1009-5519.2014.12.013
经皮肾镜取石术后尿脓毒症休克2例报告并文献复习
Uroseptic shock via percutaneous nephrolithotomy:2 cases report and review of literature
胡道荣 1徐世田 1李杰 1温鹏 1王延建1
作者信息
- 1. 重庆市合川区人民医院泌尿外科，重庆401520
- 折叠
摘要
Abstract
Objective To explore the prevention and treatment of uroseptic shock by percutaneous nephrolithotomy (PCNL). Methods Sixty-four patients with calculi in the kidneys received by this department and accepted anti-biotics therapy for three days. After an pneumatic lithotripsy of major channel via nephroscope was conducted and then two of them were in uroseptic shock. Reviewing combined with literature about uroseptic shock after PCNL. Results Twenty minutes after surgery one patient developed the symptoms such as uroseptic shock with blood pressure fall,rapid heart rate and hyperpyrexia,who was promptly treated with fluid replacement,dilatation and anti-infection,and eventually discharged after the above comprehensive therapy. Another suddenly had chills,rapid heart rate,drop of blood pressure after 120 min when finishing the lithotripsy. Immedi-ately the operation was stopped instead of giving anti-shock and anti-infection. Conclusion The comprehensive therapeutic schedule of anti-infection treatment before operation ,keeping a low blood pressure with lavage during the operation ,a close moni-toring of vital signs and consciousness change after the operation as well as strengthening anti-infection shall prevent effectively uroseptic shock after PCNL.关键词
碎石术/休克,脓毒性/尿路结石/手术后期间/经皮肾镜取石术/尿脓毒症休克Key words
Lithotripsy/Shock,septic/Urinary calculi/Postoperative period/Percutaneous nephrolithotomy/Uroseptic shock引用本文复制引用
胡道荣,徐世田,李杰,温鹏,王延建..经皮肾镜取石术后尿脓毒症休克2例报告并文献复习[J].现代医药卫生,2014,(12):1791-1792,1795,3.
