重度肾积水经皮肾穿刺减压术诱发迷走神经反射的诊疗分析  

Clinical diagnosis and treatment of severe hydronephrosis induced vagus reflex by percutaneous renal puncture decompression

作　　者：李武学[1] 许长宝[1] 赵兴华[1] 郝斌[1] 王友志[1] 刘昌伟[1] 王晓甫[1] Li Wuxue;Xu Changbao;Zhao Xinghua;Hao Bin;Wang Youzhi;Liu Changwei;Wang Xiaofu(Department of Urology,Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第二附属医院泌尿外科,450000

出　　处：《中华泌尿外科杂志》2021年第3期229-230,共2页Chinese Journal of Urology

基　　金：河南省医学科技攻关计划(联合共建)(LHGJ20190322)。

摘　　要：迷走神经反射是经皮肾穿刺减压术极少见的并发症,常因重度肾积水减压过快而牵拉支配肾脏的神经主干而诱发,临床表现为烦躁、大汗淋漓、皮肤湿冷、呃逆、心率缓慢等迷走神经兴奋的特点,易发生误诊。我们收治了4例重度肾积水经皮肾穿刺减压术诱发迷走神经反射的病例,予监测生命体征、扩容、升压、镇静等治疗后,症状逐渐消失。Vagus nerve reflex is a rare complication of percutaneous renal decompression.It is often induced by excessively rapid decompression of severe hydronephrosis and traction of the main nerves innervating the kidney.The clinical manifestations are irritability,sweating,clammy skin,hiccups,slow heart rate.It is easy to misdiagnose.In this study,4 patients with vagus nerve excitement after percutaneous renal decompression were treated.After monitoring the patient’s vital signs and giving treatment such as expanding blood volume and raising blood pressure,the symptoms gradually disappeared.

关 键 词：穿刺术 经皮肾穿刺 迷走神经反射 诊断 治疗 

分 类 号：R699.2[医药卫生—泌尿科学]