临床与病理杂志2015，Vol.35Issue(4)：587-592,6.DOI:10.3978/j.issn.2095-6959.2015.04.014
泌尿外科腔镜术后尿源性脓毒血症的预后影响因素分析
The prognostic factors analysis of urosepsis after surgery with urologic endoscopy
张海民 1鄢阳 1许云飞 1彭波 1姚旭东 1郑军华1
作者信息
- 1. 同济大学附属第十人民医院泌尿外科,上海 200072
- 折叠
摘要
Abstract
Objective: To investigate the prognostic factors of urosepsis after surgery with urologic endoscopy and to improve the prognosis of urosepsis.Methods:A retrospective analysis of clinical data of 57 patients was carried who occurred urosepsis after surgery with urologic endoscopy. These cases were divided into low-risk group and high risk group and compared the difference of clinical data and laboratory results.Results: Of 57 cases of urosepsis, 24 patients were divided into high-risk group and 33 cases into low risk group. hTere were signiifcant differences in the ratio of male/female, urinary tract infection and diabetes mellitus between high-risk group and the low-risk group. In terms of operation, ureter surgery in high-risk group was higher than low risk level, but percutaneous nephrolithotripsy was significantly lower than the low-risk group, and surgical time of high-risk group was significantly longer than that of low-risk group. Postoperative blood leukocytes, neutrophils,C-reactive protein, multiple organ dysfunction, blood culture positive ratio in the high-risk group is higher than the low-risk group, and the time interval from surgery to uroseptic symptoms occurring (interval time of surgery-infection), fibrinogen, platelets, hemoglobin in high risk group were lower than low risk group. Conclusion:Male, urinary tract infection, diabetes mellitus, ureteroscopy and longer surgical time are the factors of poor prognosis of urosepsis; significantly higher blood neutrophils after surgery, elevated c-reactive protein, multiple organ dysfunction, positive blood culture, shorter interval time of surgical-infection and lower platelets, lower hemoglobin, lower ifbrinogen are the poor prognostic indicators.关键词
尿源性脓毒血症/泌尿外科腔镜手术/预后因素Key words
urosepsis/surgery with urologic endoscopy/prognostic indicator引用本文复制引用
张海民,鄢阳,许云飞,彭波,姚旭东,郑军华..泌尿外科腔镜术后尿源性脓毒血症的预后影响因素分析[J].临床与病理杂志,2015,35(4):587-592,6.
