上尿路结石术后尿源性脓毒血症的诊治研究

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摘要目的:分析上尿路结石尿源性脓毒血症临床特点,为预防尿源性脓毒血症发生及早期诊断、治疗提供依据。方法:回顾性分析2003年4月~2014年4月23例患者行输尿管镜取石术(URL)和经皮肾镜取石术(PCNL)术后并发脓毒血症的临床资料。结果:23例均及时诊断尿源性脓毒血症,并进行相应的处理,无一例死亡。结论:对上尿路结石腔内手术后并发尿源性脓毒血症的患者,术前控制感染,术中预防,正确救治,可减少尿源性脓毒血症的发生率,提高抢救成功率。

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	程应生
	杨代俊
	郑攀丰
	张志炎

关键词 ：输尿管镜取石术, 经皮肾镜取石术, 尿源性脓毒血症

Abstract：Objective: To analyze the clinical characteristics, prevention, early diagnosis and treatment of urosepsis following ureteroscopic lithotripsy. Methods: From April 2003 to April 2014, the clinical data of 23 cases of urosepsis following ureteroscopic lithotripsy (URL) and percutaneous nephrolithotomy (PCNL) were reviewed. Results: The uroseptis was timely diagnosed in 23 cases, and according treatment was given. There was no death. Conclusions: For the patients with urosepsis following URL and PCNL of upper urinary tract calculi, preoperative infection control, intraoperative prevention, correct treatment can reduce the incidence of uroseptis and increase the success rate of rescue.

Key words： ureteroscopic lithotripsy percutaneous nephrolithotomy urosepsis

收稿日期: 2014-12-06

ZTFLH:

R693

通讯作者: 程应生 E-mail: 9846127@qq.com

引用本文:

程应生,杨代俊,郑攀丰,张志炎. 上尿路结石术后尿源性脓毒血症的诊治研究[J]. 微创泌尿外科杂志, 2015, 4(1): 44-47.
Cheng Yingsheng, Yang Daijun, Zheng Panfeng, Zhang Zhiyan. Experience in diagnosis and treatment of urosepsis following ureteroscopic lithotripsy of upper urinary tract calculi. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(1): 44-47.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract746.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2015/V4/I1/44

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