中华灾害救援医学Issue(5)：261-263,3.DOI:10.13919/j.issn.2095-6274.2015.05.006
经皮肾镜碎石取石术出血并发症的急诊处理分析（附27例报告）
Analysis on emergency treatment of bleeding complications in percutaneous nephrolithotomy (a report of 27 cases)
袁超英 1黄苏溪 1袁杰 1闫东 1海拉提·阿不都力江 1肖华平1
作者信息
- 1. 830091 乌鲁木齐，新疆维吾尔自治区武警新疆总队医院泌尿外科
- 折叠
摘要
Abstract
Objective To analyze the emergency treatment effect of bleeding complications in percutaneous nephrolithotomy. Methods Clinical data of 3286 patients with ureteral stones treated by percutaneous nephrolithotomy were retrospectively analyzed. Results A total of 27 patients (0.82%) complicated with bleeding among 3286 patients.The major reason of bleeding complications was unideal puncturing tract, 17 cases were included (62.96%).13 patients bled during the operation, 14 patients happened postopera-tively, and 3 patients were repeatedly delayed hemorrhage.7 patients were treated with blood transfusion, accounting for 25.93% (7/27).No percutaneous nephrolithotomy conversion to open operation and nephretomy happened.24 patients with bleeding complication healed through local oppression, blood transfusion, anti-inflammatory, diuresis, hemostasis, and absolute rest in bed, while the other three patients with super-selective renal arterial embolization.Conclusions Bleeding complication in percutaneous nephrolithotomy is rare but difficult to predict, which can be life-threatening and need emergency treatment, the accurate judgment of the cause for bleeding and mastery of the operation methods for prevention can significantly decrease its risk.Renal delayed hemorrhage should be considered first in repeated postoperative bleeding, and emergent super-selective renal artery embolization is the safe and effective solution.关键词
经皮肾镜碎石取石术/出血并发症/急诊处理Key words
percutaneous nephrolithotomy/bleeding complications/emergency treatment分类
医药卫生引用本文复制引用
袁超英,黄苏溪,袁杰,闫东,海拉提·阿不都力江,肖华平..经皮肾镜碎石取石术出血并发症的急诊处理分析（附27例报告）[J].中华灾害救援医学,2015,(5):261-263,3.
