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目的探讨经皮肾镜取石术后并发感染性休克症状的原因和预防措施。方法选取我院2012年9月-2013年9月施行经皮肾镜取石手术患者130例,对其中14例并发感染性休克患者的相关情况进行回顾性分析。结果 14例并发感染性休克患者,其休克后30min内接受相应急救措施,13例患者3d后各项身体指标达到正常;1例患者因病情较为严重,治疗无效死亡。发生并发感染性休克的原因主要与手术方式、治疗时机、实施者操作能力有关。结论正确选择手术最佳时机、把握手术适应症,有利于降低并发症的发生,提高治愈率,明显改善生活质量。
Objective To investigate the causes and preventive measures of septic shock after percutaneous nephrolithotomy. Methods A total of 130 patients undergoing percutaneous nephrolithotomy in our hospital from September 2012 to September 2013 were retrospectively analyzed in 14 patients with septic shock. Results In 14 patients with septic shock, the corresponding first-aid measures were taken within 30 minutes after shock, and all the physical indexes of 13 patients reached normal after 3 days. One patient died due to more serious illness and ineffective treatment. Occurrence of concurrent septic shock mainly due to surgical methods, timing of treatment, the implementation of operational capacity. Conclusion Correct choice of the best timing of surgery to grasp the indications for surgery is conducive to reduce the incidence of complications, improve the cure rate and significantly improve the quality of life.