经皮肾镜术后感染性休克与尿中亚硝酸盐关系的分析

The analysis of nitrite between shock and urinary infection after percutaneous nephrolithotomy

目的 总结经皮肾镜碎石取石术PCNL治疗经验,探讨PCNL术后感染性休克与亚硝酸盐阳性患者处理方法及预防措施.方法 收集采用PCNL治疗的48例肾结石亚硝酸盐阳性患者的临床资料,进行回顾性分析,患者共行48例次PCNL其中5例因术后结石残留行二次手术.结果 术前经早期抗感染治疗亚硝酸盐转阴性32例患者术后发生感染性休克1例.术前经抗感染治疗亚硝酸盐未转阴性16患者术后发生感染性休克7例.结论 感染性休克是PCNL术后最严重的并发症,要充分重视并早期采取积极防治措施,术前常规留置中段尿培养和进行药物敏感试验,术中采用合适的工作通道,术后进一步抗感染治疗,避免感染性体克的发生.

Objective Summary of percutaneous nephrolithotomy PCNL treatment experience,Shock and nitrite positive patients in treatment and prevention of postoperative infection of PCNL. Method Collection using pCNL treatment of 48 cases of renal Calculi nitrite clinical data of the patients with positive, Retrospective analysis, Patients with a total of 48 cases of PCNL including 5 cases for the two operation of residual stones after operation. Results Preoperative early anti infection treatment nitrte turned negative in 32 patients occurred in 1 patients with septic shock. Preoperative after anti infection treatment of nitrite dill not turn negative in 16 patients after operation occurred in 7 patients with septic shock. Conclusion Septic shock is one of the most serious complications after PCNL,Full attention must be paid to early and take effective measures to, Routine preoperative indwelling urine culture and drug sensitive test, The working channel suitable operation, After further anti infection treatment, To avoid the occurrence of septic shock.