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目的:探讨上尿路梗阻合并尿脓毒血症的护理干预效果。方法:选择我院30例上尿路结石梗阻继发感染合并有尿脓毒血症的患者,术前行全面风险评估及原发病的控、感染的预防,即在局麻下或全麻下行双J管置入或腔内钬激光碎石术,手术中病情交接,术后护理观察等。结果:30例患者中27例患者经微创技术引流、抗感染治疗一周左右,血常规、体温、降钙素原恢复正常,康复出院。而有3例患者分次转入重症医学科后因重感染死亡。结论:上尿路结石梗阻合并尿脓毒血症,加强早期发现,早期预防性抗感染治疗和专科护理,是降低死亡率和阻止疾病进展的关键。
Objective: To investigate the nursing effect of upper urinary tract obstruction combined with urinary sepsis. Methods: Thirty patients with upper urinary tract obstruction secondary to urinary sepsis were selected in our hospital. Preoperative comprehensive risk assessment and prevention of primary disease were performed, ie under local anesthesia or general anesthesia Down double J tube into the cavity or holmium laser lithotripsy, surgical transfer of the condition, postoperative care observation. Results: Twenty-seven patients in 30 patients were treated with minimally invasive drainage and anti-infective therapy for about a week. Blood routine, body temperature and procalcitonin returned to normal, and were discharged. Three patients died of severe infection after being transferred to the department of critical care medicine. CONCLUSION: Upper urinary tract obstruction associated with urinary sepsis, enhanced early detection, early prophylactic anti-infective therapy and specialist care are the keys to reducing mortality and preventing disease progression.