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泌尿系结石腔镜碎石术后重症感染的治疗方案研究 被引量:4

Study on the treatment of severe infection after endoscopic lithotripsy for urinary calculi
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摘要 目的研究泌尿系结石经腔镜碎石术后重症感染的发生原因并制定相应的治疗方案。方法选取我院2014年12月~2016年12月期间的15例泌尿系结石腔镜碎石术后重症感染患者的临床资料进行回顾性分析,并针对确诊的病情给予对症治疗。结果经积极抢救和治疗后,15例重症感染患者中,其中两例患者,1例伴有糖尿病、1例术前血象明显增高,均因患者高龄体质差,术后病情加重放弃治疗出院。其余13例患者均在治疗一段时间后痊愈出院。治疗后的VAS评分为(8.06±0.79)分,明显低于治疗前的(2.45±0.38)分(P<0.05)。结论泌尿系结石腔镜碎石术后重症感染要早发现早治疗,做好术前预防准备工作、术中谨慎操作、术后加强生命体征的监测是避免发生重症感染的重要手段。 Objective To study the causes of severe infection after endoscopic lithotripsy for urinary calculi and to develop the corresponding treatment plan. Methods The clinical data of 15 cases with severe urinary infection after endoscopic lithotripsy for urinary calculi from December 2014 to December 2016 were analyzed retrospectively.And symptomatic treatment was given to the cases. Results After active rescue and treatment,among 15 cases with severe infection in patients,two cases,1 case with diabetes,1 case with high preoperative blood picture,and with poor physical fitness,gave up treatment and leave hospital because the postoperative condition was aggravated.The remaining 13 patients were cured and discharged for a period of time.The VAS score after treatment was(8.06 ±0.79),which was significantly lower than that before treatment(2.45± 0.38)(P 〈 0.05).Conclusion severe infection after endoscopic lithotripsy for urinary calculi showed be early detected,and early treated.Preparation for preoperative prevention,careful operation during operation and monitoring postoperative vital signs are important means of avoiding severe infection.
出处 《中国医药科学》 2017年第12期196-198,共3页 China Medicine And Pharmacy
关键词 泌尿系结石 腔镜碎石术 重症感染 治疗方案 Urinary calculi Endoscopic lithotripsy Severe infection Treatment regimen
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