输尿管软镜碎石术相关尿源性脓毒症的防治策略  

Prevention and treatment towards urosepsis associated with flexible ureteroscopic lithotripsy

作　　者：沈柏华(审校)[1] 林奕伟[1] SHEN Baihua;LIN Yiwei(Department of Urology,First Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou,310003,China)

机构地区：[1]浙江大学医学院附属第一医院泌尿外科,杭州310003

出　　处：《临床泌尿外科杂志》2020年第9期696-698,共3页Journal of Clinical Urology

摘　　要：输尿管软镜钬激光碎石术是目前广泛开展的尿石症微创治疗技术。近几年,该技术在国内已经得到了一定的普及。但同时,该技术也存在许多严重的并发症。这其中,尿源性脓毒症是最凶险、处理最为棘手且临床上最容易忽视的并发症。本文从术前评估与准备、术中操作和术后管理三个方面介绍输尿管软镜碎石术相关尿源性脓毒症的防治策略。Flexible ureteroscopic lithotripsy is a widely applied technique for minimal invasive management of urinary calculi. However, this technique can sometimes lead to severe complications, of which, urosepsis is the most critical and troublesome one. Also, it is easy to be ignored clinically. In our current review, we summarized the peri-operative prevention and treatment strategies towards urosepsis caused by flexible ureteroscopic lithotripsy.

关 键 词：尿源性脓毒症 输尿管软镜 泌尿系结石 

分 类 号：R693[医药卫生—泌尿科学]