Abstract：Objective: To investigate the related risk factors of septic shocks ofter percutaneous nephrolithotomy (PCNL) and preventive measures. Methods: The clinical data of 358 patients who were treated with PCNL from January 2010 to December 2012 were retrospectively analyzed. Using Chi-Square test was used to analyze the influencing factors of the septic shocks as follows: age, gender, operative time, urinary infection, and co-existing diseases. The patients with septic shock were given anti-shock and anti-infection therapy timely. Results: Eight patients out of 358 developed septic shocks. Vasopressors were withdrawn in 12-48 h, blood pressure and body temperature restored to a normal level within 3 days and all of them cured. Of the 10 factors, diabetes mellitus, coronary heart disease and female were the risk factors for septic shock (P＜0.05). Conclusions: Diabetes, liver disease and female are the important risk factors of septic shocks afterPCNL. Septic shocks is a rare and serious complication of PCNL, and early diagnosis and treatment are the keys.
陈光,罗建仕,何绍锋,何金参. 探讨经皮肾镜术后并发感染性休克的危险因素[J]. 微创泌尿外科杂志, 2015, 4(4): 242-244.
Chen Guang, Luo Jianshi, He Shaofeng, He Jincan. Risk factors of septic shock after percutaneous nephrolithotomy. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(4): 242-244.
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