经皮肾镜取石术后患者发热的危险因素分析  

Risk Factors of Fever after Percutaneous Nephrolithotomy

作　　者：蓝志相[1] 梁建波[1] 王晓平[1] 刘刚[1] 玉海[1] 李信众[1] 韦华玉[1] 

机构地区：[1]广西壮族自治区人民医院泌尿外科,广西南宁530021

出　　处：《中华医院感染学杂志》2009年第9期1067-1069,共3页Chinese Journal of Nosocomiology

基　　金：广西壮族自治区卫生厅课题(Z2006166)

摘　　要：目的探讨经皮肾镜取石术(PCNL)术后患者发热的危险因素及防治措施。方法回顾性分析98例PCNL治疗上尿路结石患者的临床资料,分为术后发热组和未发热组,分析患者发热的各种危险因素。结果术后发热31例,其发生率为31.6%;发热与术前有尿路感染、肾积水、结石表面积>6 cm2以及术中出血量>500 ml、手术时间>2 h、灌注液量>30 L等因素有关,发热组和未发热组中的差异有统计学意义(P<0.05)。结论PCNL术后发热比较常见,正确掌握手术时机、控制手术时间、使用有效抗菌药物等是预防术后发热的有效措施。OBJECTIVE To investigate the risk factors of fever after percutaneous nephrolithotomy （PCNL） and improve treatment strategy. METHODS A total of 98 patients who underwent PCNL for upper urinary tract calculi were enrolled and divided into two groups： fever group and non-fever group. An analysis was performed for the risk factors of fever. RESULTS Among the 98 cases,31 cases were with fever after PCNL （31.6%）. Urinary tract infection,hydronephrosis,the stone volume〉6 cm^2 before operation and intraoperative total bleeding over 500ml, operation time〉2h, and irrigation fluid volume〉30L were risk factors of fever （P〈0.05）. CONCLUSIONS The frequency of fever after PCNL is high. Effective measures of preventing post-operational fever should be taken, including the correct timing for operation, to control the operation time and use antibacterial agents rationally.

关 键 词：经皮肾镜取石术 肾结石 发热 危险因素 

分 类 号：R181.32[医药卫生—流行病学]