J4 ›› 2015, Vol. 14 ›› Issue (10): 28-30.

Previous Articles     Next Articles

Prevention of Uroseptic Shock after Percutaneous Nephrolithotomy

  

  1. (Affiliated Hospital of Dali University, Dali, Yunnan 671000, China)
  • Received:2015-01-12 Online:2015-10-15 Published:2015-10-15

Abstract:

Objective: To summerize and explore the prevention of uroseptic shock after percutaneous nephrolithotomy. Methods:
Clinical data of 714 PCNL patients from January 2010 to November 2014 were retrospectively analyzed, among them, 9 were with
uroseptic after percutaneous nephrolithotomy. All 9 patients were characterized by chills, a breathing over 30 BPM, a temperature over
39.0 ℃, a heart rate from 120 to 160 BPM and a blood pressure below 90/60 mmHg within 1-4 hours after operation. They were
diagnosed with uroseptic shock by clinical manifestations and were treated by anti-infection and anti-shock therapies. Results: At
early stage, due to the lack of knowledge and experience, 3 patients died of multiple organ dysfunction failure. 6 patients were cured
with early diagnosis and rapid treatment after summarizing the cause of failure. Conclusion: Uroseptic shock can develop rapidly after
percutaneous nephrolithotomy. Effective prevention, early diagnosis and treatment can prevent uroseptic shock.

Key words: percutaneous nephrolithotomy, uroseptic shock, prevention

CLC Number: