去甲肾上腺素在微创经皮肾镜碎石术后止血中的意义  

Significance of Application of Norepinephrine in Post-mPCNL Hemostasia

作　　者：许良余[1] 陈弟荣[1] 李晓刚[1] 李解方[2] 刘柏秀[1] 

机构地区：[1]郴州市第一人民医院泌尿外科,湖南郴州423000 [2]南华大学第一附属医院泌尿外科

出　　处：《南华大学学报（医学版）》2006年第4期572-573,587,共3页Journal of Nanhua University(Medical Edition)

摘　　要：目的探讨去甲肾上腺素经肾造瘘管注入在微创经皮肾镜碎石术(mPCNL)后止血中的意义。方法选择127例mPCNL术后回房即时尿液中血红蛋白浓度大于2.5 g/L的患者,65例经肾造瘘管注入生理盐水10 mL加去甲肾上腺素4 mg,62例术后仅注入生理盐水10 mL作对照,夹管0.5 h后放开,分别于用药后1 h6、h测定肾造瘘管尿液的血红蛋白浓度,并进行比较。结果应用去甲肾上腺素组术后1 h6、h肾造瘘管尿液的血红蛋白浓度明显低于对照组。结论去甲肾上腺素经肾造瘘管注入对微创经皮肾镜碎石术后出血有明显止血效果,具有临床应用价值。Objective To discuss significance of application of Norepinephrine in post - mPCNL hemostasia. Methods Four mg norepinephrine and 10 mL 0.9 % sodium chloride were injected in 65 cases and 10 mL 0.9 % sodium chloride were injected in 62 cases by artificial kidney fistula, immediately converging duct. At lh and 6 h we determined uine haemoglobin concentration of artificial kidney fistula. Results Uine haemoglobin concentration of artificial kidney fistula in norepinephrine group was less than sodium chloride group in post- mPCNL. Conclusions Injection of norepinephrine by artificial kidney fistula have significantly hemostatic effect.

关 键 词：去甲肾上腺素 MPCNL 术后出血 止血 

分 类 号：R692.4[医药卫生—泌尿科学]