微创治疗上尿路结石并发感染性休克的诊治  

Diagnosis and Treatment of Septic Shock after Minimally Invasive Treatment in Upper Urinary Tract Calculi Patients

作　　者：杨进益[1] 魏伟[1] 刘建光[1] 姜兴金[1] 侯旭[1] 

机构地区：[1]大连市友谊医院泌尿外科,辽宁大连116001

出　　处：《医学与哲学（B）》2016年第8期16-18,共3页Medicine & Philosophy(B)

摘　　要：应用经皮肾镜和输尿管镜碎石、清石技术治疗上尿路结石是腔内微创泌尿外科技术的重要组成部分,已彻底改变了传统的开放手术治疗上尿路结石的模式。但微创治疗上尿路结石仍存在感染、出血、疼痛、邻近脏器损伤等并发症,其中感染性休克是较严重的并发症之一,发生率为0.97%~4.70%,病死率达20%~63%。作为泌尿外科医生,对感染性休克要有清醒的认识,了解其发生的原因及危害因素,加强预防措施,如若早期发现并及时处理,可以明显降低病死率。Percutaneous nephrolithotomy and ureteroscopic lithotripsy for upper urinary tract calculi is an important component of minimally invasive endoscopic technique and has completely changed the mode of traditional open surgery in the treatment of upper urinary tract calculi. But minimally invasive treatment of upper urinary tract calculi still exist such complications as infection, bleeding, pain, adjacent organ damage et al. Septic shock is one of the serious complications,the occurrence rate was 0.97%-4.70%, and the mortality rate was 20%-63%. Conscious awareness of septic shock is very important to Urinary Surgeons. To understand the pathogeny and risk factors, strengthen preventive measures, early detection and timely treatment, can significantly reduce the mortality rate.

关 键 词：结石 上尿路 微创治疗 感染性休克 

分 类 号：R691.4[医药卫生—泌尿科学]