【摘要】 目的探讨上尿路腔内碎石术后并发感染性休克的原因和防治措施。方法回顾性分析2005年1月～2008年3月上尿路腔内碎石术后6例感染性休克患者的临床资料。根据临床表现均诊断为感染性休克。6例均给予抗休克和抗感染等治疗。结果其中5例患者在10～52h后逐渐停用升压药物,1周内体温和血常规恢复正常,最后治愈出院。1例患者因出现多脏器功能障碍综合征(MODS)而于术后第6d抢救无效死亡。结论感染性休克是上尿路腔内碎石术后严重并发症之一,早期发现及合理处理是治疗成功的关键,加强预防措施可降低术后重症感染的发生率。更多还原

【Abstract】 Objective To explore the etiology,management and prevention of septic shock after endoscopic lithotripsy for upper urinary tract stones.Methods A clinical data was retrospectively analyzed which collected 6 patients(4 men,2 women) of septic shock after endoscopic lithotripsy for upper urinary tract stones from 2005.1 to 2008.3.All 6 patients underwent anti-shock and anti-infection therapies rapidly.Results 5 patients were cured in the end,the hypertensors were gradually stopped within 10～52 hours,their temperature and blood routine tests returned to normal within 1 week.1 patient was died of MODS after 6 days of operation.Conclusion Septic shock is one of serious complications after endoscopic lithotripsy for upper urinary tract stones.The improvement in the prevention can effectively prevent the post-operation severe infection.The key to the successful treatment depend on early diagnosis and proper treatment.更多还原