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目的:探讨经皮肾镜取石术后患者感染性休克的发生病因和防治方法。方法:选取2014年1月—201年1月收治的经皮肾镜取石术患者585例,术前尿培养结果示阴性,术后出现感染性休克患者6例,分析6例患者感染性休克发生的原因,探讨其防治方法。结果:6例患者经血培养检出病原菌5株,其中大肠埃希菌3株占60.00%,变形菌属1株占20.00%和克雷伯菌属1株占20.00%,检出的病原菌对头孢他啶-他唑巴坦钠、哌拉西林、舒巴坦、亚胺培南均敏感,经治疗6例患者中治愈5例和病死1例。结论:经皮肾镜取石术后致感染性休克的发生,应及早发现、及早诊断和及早治疗,及时采用敏感率较高的抗菌药物有效抗休克治疗,以阻止感染性休克症状的进展和降低病死率。
Objective: To explore the etiology and prevention and treatment of septic shock in patients after percutaneous nephrolithotomy. Methods: A total of 585 patients who underwent percutaneous nephrolithotomy were selected from January 2014 to January 201. The results of preoperative urinary culture were negative. Postoperative septic shock occurred in 6 patients and septic shock in 6 patients was analyzed The reason to explore its prevention and treatment methods. Results: Five strains of pathogens were detected by blood culture in 6 patients, of which 3 strains of Escherichia coli accounted for 60.00%, 1 strain of Proteus was 20.00%, and 1 strain of Klebsiella was 20.00%. The detection of pathogenic bacteria on ceftazidime - tazobactam sodium, piperacillin, sulbactam, imipenem were sensitive to the treatment of 6 patients were cured in 5 cases and 1 died. Conclusion: The incidence of septic shock after percutaneous nephrolithotomy should be detected as soon as possible, and early diagnosis and early treatment should be carried out. Antibacterials with high sensitivity rate should be used in an effective anti-shock therapy in order to prevent the progression and decrease of septic shock symptoms Case fatality rate.