体外碎石禁忌（ESWL taboo）.docVIP

体外碎石禁忌（ESWL taboo） Pay attention to the contraindication of extracorporeal shock wave lithotripsy Extracorporeal shock wave lithotripsy is the application of high-tech equipment outside the human body to produce strong shock wave energy to focus on the stones in the body parts through the crushed stones, urinary excreted in the urine of the process, is the treatment of urinary calculi is safe and effective and economic method, with the continuous development of ESWL Technology improvement, has been widely applied in clinical medicine in most patients, urinary calculi can be treated by extracorporeal shock wave lithotripsy treatment, and gradually become the preferred treatment in patients with gallstone. Lithotripsy is extensive and most stones are exempt from surgery. According to modern clinical experimental study, extracorporeal shock wave lithotripsy is also a definite indication and contraindication for different stone patients. (1) contraindications: extracorporeal shock wave lithotripsy should be used with caution. 1. hemorrhagic diseases of the whole body. 2. pregnant women. 3. infectious disease activity (such as active hepatitis, dysentery, tuberculosis). 4. severe diabetes (because of a serious urinary tract infection). 5., non stone urinary obstruction (such as ureteral stenosis, tumor). 6., the body condition is poor (old, weak, heart, lung, liver, kidney and other organ dysfunction, hypertension, arrhythmia). 7. with pacemakers. 8. previous kidney open surgery and has obvious effect of open surgery (bilateral urinary stones and severe uremia; renal or ureteral obstruction in a long time, no renal function; renal or ureteral calculi and renal abscess; diagnosis is not clear, cannot exclude stones and tumors or tuberculosis). 9. stones located in the parenchyma of the kidney and in the small calyx and those with ipsilateral renal calculi complicated with cysts. 10. overweight people and stone diameter 20mm. There is no need for special preoperative prepa