泌尿系结石腔镜碎石术后重症感染治疗方案研究.docVIP

泌尿系结石腔镜碎石术后重症感染治疗方案研究 　　[摘要] 目的 研究泌尿系结石经腔镜碎石术后重症感染的发生原因并制定相应的治疗方案。 方法 选取我院2014年12月～2016年12月期间的15例泌尿系结石腔镜碎石术后重症感染患者的临床资料进行回顾性分析，并针对确诊的病情给予对症治疗。 结果 经积极抢救和治疗后，15例重症感染患者中，其中两例患者，1例伴有糖尿病、1例术前血象明显增高，均因患者高龄体质差，术后病情加重放弃治疗出院。其余13例患者均在治疗一段时间后痊愈出院。治疗后的VAS评分为（8.06±0.79）分，明显低于治疗前的（2.45±0.38）分（P0.05）。 结论 泌尿系结石腔镜碎石术后重症感染要早发现早治疗，做好术前预防准备工作、术中谨慎操作、术后加强生命体征的监测是避免发生重症感染的重要手段。 　　[关键词] 泌尿系结石；腔镜碎石术；重症感染；治疗方案 　　[中图分类号] R691.4 [文献标识码] A [文章编号] 2095-0616（2017）12-196-03 　　Study on the treatment of severe infection after endoscopic lithotripsy for urinary calculi 　　LI Zhong WEN Shihe YANG Tian 　　Heyuan Peoples Hospital，Heyuan 517000，China 　　[Abstract] Objective To study the causes of severe infection after endoscopic lithotripsy for urinary calculi and to develop the corresponding treatment plan. Methods The clinical data of 15 cases with severe urinary infection after endoscopic lithotripsy for urinary calculi from December 2014 to December 2016 were analyzed retrospectively.And symptomatic treatment was given to the cases. Results After active rescue and treatment，among 15 cases with severe infection in patients，two cases，1 case with diabetes，1 case with high preoperative blood picture，and with poor physical fitness，gave up treatment and leave hospital because the postoperative condition was aggravated.The remaining 13 patients were cured and discharged for a period of time.The VAS score after treatment was（8.06±0.79），which was significantly lower than that before treatment（2.45±0.38）（P0.05）.Conclusion severe infection after endoscopic lithotripsy for urinary calculi showed be early detected，and early treated.Preparation for preoperative prevention，careful operation during operation and monitoring postoperative vital signs are important means of avoiding severe infection. 　　[Key words] Urinary calculi；Endoscopic lithotripsy；Severe infection；Treatment regimen 　　泌尿系?Y为我国人群较为常见一类泌尿系统疾病，是指发生在组成泌尿系统各部位的结石，可见于肾、膀胱、输尿管等，发生后会对患者生活质量产生明显影响，若延误诊断和治疗可能引发严重不良后果。现阶段，手术治疗是我国临床治疗泌尿系结石的有效方法，常用的手术