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目的总结经皮肾镜取石术和输尿管镜取石术治疗上尿路结石导致尿源性脓毒血症的防治经验。方法回顾性分析13例经皮肾镜取石术和输尿管镜取石术后并发尿源性脓毒血症患者的临床资料，所有患者均进行积极地抗感染及抗休克治疗。结果经过积极的抗感染及抗休克治疗，所有患者生命体征逐渐平稳，均治愈出院。结论尿源性脓毒血症是上尿路腔内取石术最严重的并发症之一，早期预防、诊断及适当的干预可减少其发生率。
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更新时间：2016-06-17
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上尿路腔内取石术并发尿源性脓毒血症的防治策略▲
Strategies for prevention and treatment of urosepsis after percutaneous nephrolithotomy and ureteroscopic lithotripsy
微创医学 201603期 页码：326-328
作者机构：广西医科大学第一附属医院泌尿外科，南宁市530021
基金信息：▲基金项目：广西自然科学基金（编号：2011GXNSFA018177）
作者简介：关晓峰（1981～），男，硕士，主治医师，研究方向：泌尿系结石的基础与临床。
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- 英文简介
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ObjectiveTo summarize our experience in prevention and treatment of urosepsis after percutaneous nephrolithotomy(PCNL) and ureteroscopic lithotripsy(URL). MethodsThe clinical data of 13 patientswith urosepsis after percutaneous nephrolithotomy(PCNL) and ureteroscopic lithotripsy(URL) were retrospectively analyzed.All patients were given anti -infection and anti-shock tierapy.ResultsAll the 13 patients were cured and dischargedfrom hospital with stable vital signs after receiving positive anti-infection and anti-shock treatment. ConclusionUrosepsis is one of the most serious complications after endoscopic lithotripsy for upper urinary tract stones,it depend on early prevention,diagnosis and proper treatment.
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