上尿路腔内取石术并发尿源性脓毒血症的防治策略  

Strategies for prevention and treatment of urosepsis after percutaneous nephrolithotomy and ureteroscopic lithotripsy

作　　者：关晓峰[1] 黎承杨[1] 邓耀良[1] 

机构地区：[1]广西医科大学第一附属医院泌尿外科,南宁市530021

出　　处：《微创医学》2016年第3期326-328,共3页Journal of Minimally Invasive Medicine

基　　金：广西自然科学基金(编号:2011GXNSFA018177)

摘　　要：目的总结经皮肾镜取石术和输尿管镜取石术治疗上尿路结石导致尿源性脓毒血症的防治经验。方法回顾性分析13例经皮肾镜取石术和输尿管镜取石术后并发尿源性脓毒血症患者的临床资料,所有患者均进行积极地抗感染及抗休克治疗。结果经过积极的抗感染及抗休克治疗,所有患者生命体征逐渐平稳,均治愈出院。结论尿源性脓毒血症是上尿路腔内取石术最严重的并发症之一,早期预防、诊断及适当的干预可减少其发生率。Objective To summarize our experience in prevention and treatment of urosepsis after percutaneous nephrolithotomy（ PCNL） and ureteroscopic lithotripsy（ URL）. Methods The clinical data of13 patientswith urosepsis after percutaneous nephrolithotomy（ PCNL） and ureteroscopic lithotripsy（ URL） were retrospectively analyzed. All patients were given anti-infection and anti-shock tierapy. Results All the13 patients were cured and dischargedfrom hospital with stable vital signs after receiving positive anti-infection and anti-shock treatment. Conclusion Urosepsis is one of the most serious complications after endoscopic lithotripsy for upper urinary tract stones,it depend on early prevention,diagnosis and proper treatment.

关 键 词：尿源性脓毒血症 经皮肾镜取石术 输尿管镜取石术 

分 类 号：R699[医药卫生—泌尿科学]