经皮肾穿刺取石术并发大出血的分析及对策  

The analysis and management of severe hemorrhage with percutaneous nephrolithotomy

作　　者：王宇雄[1] 李逊[1] 吴开俊[1] 袁坚[1] 

机构地区：[1]广州医学院第一附属医院微创外科中心泌尿外科,广州510230

出　　处：《临床泌尿外科杂志》2006年第2期96-97,共2页Journal of Clinical Urology

摘　　要：目的:分析经皮肾穿刺取石术并发大出血的病例及其应对措施。方法:总结经皮肾取石术5472例次临床资料,其中发生术中、术后大出血39例,大出血的发生率为0.71%。结果:39例出血患者需介入栓塞治疗12例,早期切肾2例,余下病例均采取保守或压迫止血成功。结论:经皮肾取石术大出血的发生率较低,出血不止或反复出血首选介入栓塞治疗。Objective： To evaluate the safety and management of renal severe hemorrhage with percutaneous nephrolithotomy. Methods：5472 cases underwent PCNL from June 1993 to October 2004 and 39 cases found severe hemorrhage. Results： 12 cases were rendered with embolization and 2 cases with nephrectomy in the early, and the rest of 39 cases were cured conservatively. Conclusions：The rate of severe hemorrhage with PCNL is lower and the best way to cure is high select embolization.

关 键 词：经皮肾取石术 肾出血 

分 类 号：R694.2[医药卫生—泌尿科学]