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作 者:任晖英 焦海鑫[1,2] 李大鹏 REN Hui-ying;JIAO Hai-xin;LI Da-peng(Department of Urology,ShengJing Hospital of China Medical University,Shenyang 110004,Liaoning Province,China;Departmentof Urology,Liaoning Electric Power Central Hospital,Shenyang 110006,Liaoning Province,China)
机构地区:[1]中国医科大学附属盛京医院第一泌尿外科,辽宁沈阳110004 [2]辽宁电力中心医院泌尿外科,辽宁沈阳110006
出 处:《中国临床药理学杂志》2024年第10期1517-1519,共3页The Chinese Journal of Clinical Pharmacology
摘 要:体外冲击波碎石为输尿管上段结石重要的治疗方法,治疗过程中会发生排出的结石碎块刺激输尿管,使其黏膜水肿,导致结石碎块无法排出的情况。碎石后药物的应用是辅助结石排出的关键。本文对1例输尿管上段结石碎石治疗患者进行报道,分析实施盐酸特拉唑嗪片联合呋塞米注射液治疗的过程,讨论碎石后药物辅助排石效果。在碎石治疗效果不理想,结石无法完全排出时,临床药师协助临床医师在输尿管上段结石术后应用盐酸特拉唑嗪片联合呋塞米注射液治疗,缓解输尿管痉挛情况,减轻疼痛,促进结石碎块顺利排出。Extracorporeal shock wave lithotripsy is an important method for the treatment of upper ureteral calculi,but the calculus fragments discharged during the treatment stimulate the ureter and make its mucosa edema,which leads to the failure to discharge the calculus fragments.The application of drugs after operation is the key to assist stone discharge.This paper reports a case of upper ureteral calculi treated by surgery,analyzes the treatment process of terazosin hydrochloride tablets combined with furosemide injection,and discusses the effect of drug-assisted calculus removal after operation.When the surgical treatment effect is not ideal and the stones cannot be completely discharged,the clinical pharmacist assists the clinician in the combined treatment of terazosin hydrochloride tablets and furosemide injection after the operation of upper ureteral stones,so as to relieve the ureteral spasm,relieve the pain and promote the smooth discharge of stone fragments.
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