上尿路结石腔内治疗术术后全身炎症反应综合征的危险因素及防治措施  

Research progress on risk factors and preventive measures of systemic inflammatory response syndrome after endoscopic lithotripsy for upper urinary tract stones

作　　者：张云梦 卓明[2] 李庆玲 钟涛 叶启航 叶军明[3] ZHANG Yun-meng;ZHOU Ming;LI Qing-ling;ZHONG Tao;YE Qi-hang;YE Jun-ming(The First Clinical Medical School of Gannan Medical University;Department of Anesthesiology,The First Affiliated Hospital of Gannan Medical University;Gannan Medical University,Ganzhou,Jiangxi 341000)

机构地区：[1]赣南医学院第一临床医学院 [2]赣南医学院第一附属医院麻醉科 [3]赣南医学院,江西赣州341000

出　　处：《赣南医学院学报》2023年第3期309-314,共6页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：上尿路结石腔内治疗术是近年来治疗上尿路结石的临床常用外科方案,主要包括经皮肾镜取石术、输尿管硬镜取石术及输尿管软镜取石术。全身炎症反应综合征作为其术后常见并发症之一,可逐渐进展,严重者可发生脓毒症,而脓毒症具有极高的致死率,危及患者围术期生命安全。本文就上尿路结石腔内治疗术后发生全身炎症反应综合征的围手术期危险因素及防治措施进行综述,以期为接受此类手术患者的围术期管理提供参考。Endoscopic lithotripsy for upper urinary tract stones is a common surgical procedure for the treatment of upper urinary calculi in recent years,mainly including percutaneous nephrolithotomy,ureteroscopic lithotripsy and flexible ureteroscopic lithotripsy.Systemic inflammatory response syndrome,as one of the major postoperative complications,can progress gradually,and severe cases may develop sepsis,which has a high mortality and endangers the perioperative lifeof patients.This article reviews the perioperative risk factors,prevention and treatment measures of systemic inflammatory response syndrome after endoscopic lithotripsy for upper urinary tract stones,and provides some reference for perioperative management of patients undergoing such surgery.

关 键 词：上尿路结石腔内治疗术 全身炎症反应综合征 危险因素 防治措施 

分 类 号：R691.4[医药卫生—泌尿科学]