经皮肾镜取石术后尿胸1例报告

Urinothorax following percutaneous nephrolithotomy:a case report

尿胸是经皮肾镜取石术后罕见并发症。本文报道1例患者,经皮肾镜取石术后出现呼吸困难、发热,胸部CT检查示胸腔积液。行胸腔穿刺,胸腔积液生化检查确诊为尿胸。经胸腔穿刺置管引流,患者呼吸困难未完全缓解,最终行胸腔镜手术后治愈。

Urinothorax is an uncommon complication following percutaneous nephrolithotomy.We present a case of dyspnea and fever after a percutaneous nephrostolithotomy,next chest CT indicated a significant left pleural effusion and urinothorax was confirmed by the pleural fluid analysis.Chest tube placement did not improve the patient's dyspnea.The patient finally recovered after the thoracoscopic surgery.