CAJ | 학술논문

目的：：探讨经皮肾镜碎石(PCNL)术后并发感染性休克的相关危险因素和防治措施.方法：回顾性分析2010年1月~2012年12月行PCNL 手术358例患者的临床资料.用卡方检验统计学方法评估年龄、性别、手术时间、手术部位、尿路感染及培养、术前是否合并基础疾病等因素对PCNL 术后并发感染性休克的影响.同时对并发感染性休克的患者及时给予抗休克和抗感染治疗.结果：在358例患者中,8例患者出现感染性休克,10个因素中,糖尿病、肝脏疾病及女性是发生感染性休克的危险因素(P＜0.05?.8例患者在12~48 h 后逐渐停用升压药,3 d 内体温和血压恢复正常,均治愈出院.结论：糖尿病、肝脏疾病及女性是 PCNL 术后并发感染性休克的危险因素,感染性休克是 PCNL 术后少见严重并发症,早期发现并及时采取合适处理是治疗成功的关键.
목적：：탐토경피신경쇄석(PCNL)술후병발감염성휴극적상관위험인소화방치조시.방법：회고성분석2010년1월~2012년12월행PCNL 수술358례환자적림상자료.용잡방검험통계학방법평고년령、성별、수술시간、수술부위、뇨로감염급배양、술전시부합병기출질병등인소대PCNL 술후병발감염성휴극적영향.동시대병발감염성휴극적환자급시급여항휴극화항감염치료.결과：재358례환자중,8례환자출현감염성휴극,10개인소중,당뇨병、간장질병급녀성시발생감염성휴극적위험인소(P＜0.05?.8례환자재12~48 h 후축점정용승압약,3 d 내체온화혈압회복정상,균치유출원.결론：당뇨병、간장질병급녀성시 PCNL 술후병발감염성휴극적위험인소,감염성휴극시 PCNL 술후소견엄중병발증,조기발현병급시채취합괄처리시치료성공적관건.
Objective:To investigate the related risk factors of septic shocks ofter percutaneous nephrolithotomy (PCNL)and preventive measures.Methods:The clinical data of 358 patients who were treated with PCNL from Jan-uary 2010 to December 2012 were retrospectively analyzed.Using Chi-Square test was used to analyze the influencing factors of the septic shocks as follows:age,gender,operative time,urinary infection,and co-existing diseases.The patients with septic shock were given anti-shock and anti-infection therapy timely.Results:Eight patients out of 358 developed septic shocks.Vasopressors were withdrawn in 12-48 h,blood pressure and body temperature restored to a normal level within 3 days and all of them cured.Of the 10 factors,diabetes mellitus,coronary heart disease and female were the risk factors for septic shock (P <0.05).Conclusions:Diabetes,liver disease and female are the im-portant risk factors of septic shocks afterPCNL.Septic shocks is a rare and serious complication of PCNL,and early diagnosis and treatment are the keys.