论文部分内容阅读
目的探讨输尿管镜碎石术后感染性休克的发生原因及治疗。方法回顾性分析3例输尿管镜碎石术后并发感染性休克患者的临床资料。3例接受输尿管镜碎石术治疗的患者,术后出现高热、血压下降、心率增快,根据临床表现诊断为感染性休克,并给予抗休克和抗感染治疗。结果 3例患者生命体征逐渐平稳,尿量恢复正常,最后治愈出院。结论梗阻积水合并感染、术中液体高压灌注和手术时间过长是引起感染性休克的主要原因,早期发现、及时治疗是成功救治的关键。
Objective To investigate the causes and treatment of septic shock after ureteroscopic lithotripsy. Methods The clinical data of 3 patients with ureteral lithotripsy complicated with septic shock were retrospectively analyzed. Three patients treated with ureteroscopic lithotripsy developed postoperative fever, decreased blood pressure, increased heart rate, septic shock diagnosed according to clinical manifestations, and were given anti-shock and anti-infective treatments. Results The vital signs of 3 patients gradually stabilized and the urine output returned to normal. Finally, the patients were cured and discharged. Conclusions Obstructive hydrocephalus and infection, intraoperative high pressure liquid infusion and operation time are the main causes of septic shock. Early detection and prompt treatment are the keys to successful treatment.