上尿路腔内碎石术后并发感染性休克的防治  

MANAGEMENT AND PREVENTION OF SEPTIC SHOCK AFTER ENDOSCOPIC LITHOTRIPSY FOR UPPER URINARY TRACT STONES

作　　者：张建华[1] 官润云[1] 龙江[1] 申吉泓[1] 

机构地区：[1]昆明医学院第一附属医院,云南昆明650032

出　　处：《现代医院》2009年第3期52-53,共2页Modern Hospitals

摘　　要：目的探讨上尿路腔内碎石术后并发感染性休克的原因和防治措施。方法回顾性分析2005年1月～2008年3月上尿路腔内碎石术后6例感染性休克患者的临床资料。根据临床表现均诊断为感染性休克。6例均给予抗休克和抗感染等治疗。结果其中5例患者在10～52h后逐渐停用升压药物,1周内体温和血常规恢复正常,最后治愈出院。1例患者因出现多脏器功能障碍综合征(MODS)而于术后第6d抢救无效死亡。结论感染性休克是上尿路腔内碎石术后严重并发症之一,早期发现及合理处理是治疗成功的关键,加强预防措施可降低术后重症感染的发生率。Objective To explore the etiology, management and prevention of septic shock after endoscopic lithotripsy for upper urinary traet stones. Methods A clinical data was retrospectively analyzed which collected 6 patients （4 men, 2 women ） of septic shock after endoscopie lithotripsy for upper urinary tract stones from 2005.1 to 2008.3. An 6 patients underwent anti - shock and anti - infection therapies rapidly. Results 5 patients were cured in the end, the hypertensors were gradually stopped within 10 - 52 hours, their temperature and blood routine tests returned to normal within 1 week. 1 patient was died of MODS after 6 days of operation. Conclusion Septic shock is one of serious complications after endoscopic lithotripsy for upper urinary tract stones. The improvement in the prevention can effectively prevent the post -operation severe infection. The key to the successful treatment depend on early diagnosis and proper treatment.

关 键 词：上尿路结石 腔内碎石 感染性休克 

分 类 号：R631.4[医药卫生—外科学] R693.4[医药卫生—临床医学]