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目的:通过分析体外冲击波碎石致尿脓毒症的临床病例,从中总结出尿脓毒症临床特征与防治措施。方法:回顾性分析我院行体外冲击波碎石致尿脓毒症患者6例,尿细菌培养:大肠埃细菌3例,恶臭假单胞菌合并大肠埃希菌感染1例,肺炎克雷伯杆菌2例;给予6例尿脓毒症患者常规治疗。结果:经6~11天治疗,6例患者身体各项指标基本恢复,2例同侧输尿管结石经输尿管境下气压弹道碎石治疗,已完全排出体内结石。所有病例皆治愈出院。结论:提高尿脓毒症危险因素的重视性,全面做好预防措施,从而实现尿脓毒症发病率的最小化。
Objective: To summarize the clinical features of urinary sepsis and its prevention and treatment by analyzing the clinical cases of urinary sepsis caused by extracorporeal shock wave lithotripsy. Methods: A retrospective analysis of 6 cases of urinary sepsis caused by extracorporeal shock wave lithotripsy in our hospital, urine bacterial culture: 3 cases of Escherichia coli, 1 case of Pseudomonas putida with Escherichia coli, 1 case of Klebsiella pneumoniae 2 cases; given 6 cases of urinary sepsis in patients with conventional treatment. Results: After 6 to 11 days treatment, all the indexes of 6 patients recovered basically. Two cases of ipsilateral ureteral calculi were treated by pneumatic lithotripsy under ureteral obstruction, which had completely discharged the stones in the body. All cases were cured and discharged. Conclusion: To improve the importance of risk factors of urinary sepsis, comprehensive preventive measures should be taken in order to minimize the incidence of urinary sepsis.