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目的:探讨微创经皮肾镜取石术(MPCNL)后高热的病因及治疗。方法:收治行MPCNL患者135例,其中术后出现高热10例,回顾性分析临床资料,对高热的病因和治疗进行总结。结果:10例患者中,术后即出现高热及寒战6例,给以患者加强抗感染治疗,3天后体温均恢复正常;术后第3天出现发热1例,经后期治疗后诊断为疟疾病,抗疟疾治疗后,5天降至正常;拔除导尿管后出现高热2例,给以患者提前拔除D-J管及加强抗感染治疗后,3天降至正常;拔除肾造瘘拔除后出现高热1例,给予加强抗感染治疗后,4天恢复正常。结论:高热是MPC-NL术后高热的常见并发症,治疗时要根据不同病因给予患者个性化治疗。
Objective: To investigate the etiology and treatment of high fever after minimally invasive percutaneous nephrolithotomy (MPCNL). Methods: One hundred and thirty-five patients with MPCNL were admitted to our hospital, including 10 cases of postoperative fever. The clinical data were retrospectively analyzed, and the etiology and treatment of fever were summarized. Results: Among the 10 patients, 6 cases of fever and chills occurred postoperatively, and the patients were given anti-infective therapy. The body temperature returned to normal after 3 days. One case developed fever on the 3rd postoperative day and was diagnosed as malaria , Anti-malaria treatment, 5 days to normal; removal of the catheter after 2 cases of fever, to patients with early removal of DJ tube and strengthen the anti-infective treatment, 3 days to normal; removal of renal fistula after removal of high fever 1 case, given to strengthen the anti-infective treatment, returned to normal 4 days. Conclusion: Hyperthermia is a common complication of postoperative fever in MPC-NL. Patients should be given personalized treatment according to different causes.