[1]张华,高小峰,周铁,等.经皮肾镜术后感染性休克一例报告并文献复习[J].中华腔镜泌尿外科杂志(电子版),2009,(03):243-244.
　ZHANG Hua,GAO Xiao-feng,ZHOU Tie,et al.Septic shock following percutaneous nephrolithotomy:a case report and review of literature[J].,2009,(03):243-244.
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经皮肾镜术后感染性休克一例报告并文献复习()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2009年03期
页码:
243-244
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Septic shock following percutaneous nephrolithotomy:a case report and review of literature
作者:
张华; 高小峰; 周铁; 孙颖浩
江苏省通州市人民医院泌尿外科,226300，第二军医大学附属长海医院泌尿外科,上海,200433
Author(s):
ZHANG Hua; GAO Xiao-feng; ZHOU Tie; SUN Ying-hao
关键词:
经皮肾镜取石术; 感染; 休克
摘要:
目的 探讨经皮肾镜术后感染性休克的防治.方法 报告1例62 岁女性双肾结石并左肾积水,尿培养发现细菌,术前给予3 d 抗感染治疗后,行左侧经皮肾镜钬激光碎石术后出现感染性休克,结合文献对经皮肾镜术后出现感染性休克的防治进行复习.结果 术中行大通道经皮肾镜钬激光碎石,手术时间105 min.术后12 h 开始出现血压下降,体温升高,血白细胞升高.经抗感染补液扩容等治疗后治愈出院.结论 术前给予充分抗感染治疗,术中灌洗保持低压,术后密切监测生命体征和神志变化并加强抗感染治疗,可有效防治经皮肾镜术后感染性休克的发生.

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更新日期/Last Update: 1900-01-01