CAJ | 학술논문

目的总结经皮肾镜/输尿管镜碎石术后感染性休克的救治经验.方法回顾性分析2011年1月至2012年6月我院6例微创经皮肾镜及输尿管镜碎石取石术后发生感染休克的临床资料.感染性休克诊断明确,6例均给予抗休克、抗感染治疗.结果 6例患者均在3～5天后逐渐停用升压药,生命体征稳定,术后5～10天体温及血常规恢复正常.结论早期液体复苏对于改善感染性休克患者组织灌注与供氧具有重要价值；术后出现感染性休克的患者推荐早期应用疗效确切的广谱抗生素(如美罗培南、亚胺培南).
목적 총결경피신경/수뇨관경쇄석술후감염성휴극적구치경험.방법 회고성분석2011년1월지2012년6월아원6례미창경피신경급수뇨관경쇄석취석술후발생감염휴극적림상자료.감염성휴극진단명학,6례균급여항휴극、항감염치료.결과 6례환자균재3～5천후축점정용승압약,생명체정은정,술후5～10천체온급혈상규회복정상.결론 조기액체복소대우개선감염성휴극환자조직관주여공양구유중요개치；술후출현감염성휴극적환자추천조기응용료효학절적엄보항생소(여미라배남、아알배남).
Objective To summarize experience about the infectious shock after percutaneous nephrostolithotripsy (PCNL) or ureteroscopic lithotripsy.Methods We retrospectively analyzed the clinical data of 6 patients who occurred infectious shock after oinimally invasive percutaneous nepholithotomy (mini-PCNL) during January 2011 to June 2012.The 6 patients were diagnosed as infectious shock,and were given anti shock,anti infection treatment.Results All 6 patients were discontinued gradually the pressor agent within 3-5 days and conditions were stable,after 5-10 days of temperature and blood returned to normal.Conclusion Early fluid resuscitation in patients with septic shock to improve tissue perfusion and oxygen supply is of important value,postoperative septic shock patients are recommended for early application of broad-spectrum antibiotics with curative effect such as imipenem and meropeuem.