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经皮肾石摘除术既可避免腰部大切口的损伤,又可缩短住院时间,是目前较流行的腔内、泌尿学手术方法之一。文献已报告此操作的并发症有:心脏骤停,成人呼吸困难综合症,液体外渗入腹膜外间隙,出血,迟发假性动脉瘤破裂等。作者报告两例使用经皮肾石摘除术病人,在围术期发生严重液气胸。例1,男,49岁,体重110kg。因在输尿管肾盂交界处结石约1.5cm。在气管内全身麻醉下行经皮肾石摘除术。膀胱检查后改俯卧位,用肾镜将结石摘
Percutaneous nephrolithotomy can not only avoid the injury of large incision in the waist, but also shorten the hospital stay. It is one of the more popular methods of endovascular and urological surgery. Literature has reported complications of this operation are: cardiac arrest, adult respiratory syndrome, fluid extraperitoneal space, bleeding, delayed false aneurysm rupture. The authors report two patients who underwent percutaneous nephrolithotomy who experienced severe perioperative fluid pneumothorax. Example 1, male, 49 years old, weighing 110kg. Because of the ureter renal pelvis junction stone about 1.5cm. Percutaneous nephrolithotomy under general anesthesia in the trachea. Prosthetic position after bladder examination, the stones will be picked with a kidney mirror