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目的:分析经皮肾镜碎石术(PCNL)后并发感染性休克的原因和防治措施。方法:回顾性分析2008年6月~2012年6月间行PCNL后发生感染性休克28例患者的临床资料:男18例,女10例。明确感染性休克诊断后立即行抗休克治疗,维持血容量和血流动力学稳定,同时行经验性抗感染治疗。结果:所有患者血压皆在24~96小时内逐渐恢复正常,术后3~6天内体温、血常规恢复正常。术后14天内均治愈出院。结论:感染性休克是PCNL后的一个严重并发症,术前采用抗生素有效抗感染、术中低压灌注并缩短手术时间、术后加强生命体征监测,可有效防治感染性休克的发生。
Objective: To analyze the causes and control measures of septic shock after percutaneous nephrolithotomy (PCNL). Methods: The clinical data of 28 patients with septic shock after PCNL between June 2008 and June 2012 were retrospectively analyzed. There were 18 males and 10 females. Clear septic shock diagnosed immediately after anti-shock therapy to maintain blood volume and hemodynamic stability, while the line of empirical anti-infective treatment. Results All patients’ blood pressure returned to normal within 24-96 hours. The body temperature and blood routine returned to normal within 3-6 days after operation. All patients were cured within 14 days after operation. Conclusion: Septic shock is a serious complication after PCNL. Antibiotic effective anti-infection, intraoperative low pressure perfusion and shortened operative time are the prerequisite for PCNL. Postoperative vital signs monitoring can effectively prevent and treat septic shock.