【摘要】 目的:分析经皮肾穿刺取石术并发大出血的病例及其应对措施。方法:总结经皮肾取石术5472例次临床资料,其中发生术中、术后大出血39例,大出血的发生率为0.71%。结果:39例出血患者需介入栓塞治疗12例,早期切肾2例,余下病例均采取保守或压迫止血成功。结论:经皮肾取石术大出血的发生率较低,出血不止或反复出血首选介入栓塞治疗。更多还原

【Abstract】 Objective:To evaluate the safety and management of renal severe hemorrhage with percutaneous nephrolithotomy.Methods:5472 cases underwent PCNL from June 1993 to October 2004 and 39 cases found severe hemorrhage.Results:12 cases were rendered with embolization and 2 cases with nephrectomy in the early, and the rest of 39 cases were cured conservatively.Conclusions:The rate of severe hemorrhage with PCNL is lower and the best way to cure is high select embolization.更多还原