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目的:总结经输尿管镜碎石术后感染性休克的救治经验。方法:回顾性分析2011年1月至2014年6月我院4例输尿管镜碎石取石术后发生感染休克的临床资料。感染性休克诊断明确,4例患者经给予抗休克、抗感染治疗。结果:4例患者均在2~3 d后逐渐停用血管活性药物,生命体征稳定,术后5~7 d血常规恢复正常,7~10 d出院。结论:早期发现、早期液体复苏,早期应用糖皮质激素、疗效确切的光谱康生和血管活性药物维持稳定血压对于改善感染性休克患者组织灌注与供氧,提高抢救成功率具有重要价值;术后出现感染性休克的患者推荐早期应用疗效确切的广谱抗生素(如亚胺培南)。
Objective: To summarize the experience of treatment of septic shock after ureteroscopic lithotripsy. Methods: A retrospective analysis of clinical data of 4 patients with ureteral stone lithotripsy in our hospital from January 2011 to June 2014 was performed. Infectious shock diagnosis clear, 4 patients were given anti-shock, anti-infection treatment. Results: All the 4 patients stopped using vasoactive drugs gradually after 2 to 3 days. The vital signs were stable. The blood routine returned to normal after 5 ~ 7 days and was discharged after 7 ~ 10 days. Conclusion: Early detection, early liquid resuscitation, early application of glucocorticoid, exact therapeutic spectrum Kangsheng and vasoactive drugs to maintain stable blood pressure in patients with septic shock to improve perfusion and oxygen supply and improve the success rate of rescue is of great value; postoperative emergence Infectious shock patients recommend the early use of the exact effect of broad-spectrum antibiotics (such as imipenem).