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目的探讨一期经皮肾镜碎石术后发热的原因及预防措施。方法回顾性分析2013年6月—2016年2月行经皮肾镜碎石术后25例发热患者的临床资料,并就其发热原因进行相关分析,总结出相应的预防措施。结果 25例术后并发发热与结石的大小、手术时间、术中灌洗液流量的大小有明显的关系,而与患者性别、年龄无明显关系。结论经皮肾镜术前应用抗生素、术中减少损伤、缩短手术时间以及降低术中灌洗液流量可有效的减少术后发热。
Objective To investigate the causes and preventive measures of fever after percutaneous nephrolithotripsy. Methods The clinical data of 25 patients with fever after percutaneous nephrolithotomy were retrospectively analyzed from June 2013 to February 2016. The causes of fever were analyzed and the corresponding preventive measures were summarized. Results 25 cases of postoperative fever and the size of the stone, the operation time, the size of intraoperative lavage fluid flow has a clear relationship, but not with the patient’s gender, age, no significant relationship. Conclusion Percutaneous nephrostomy preoperative antibiotics, surgery to reduce injury, shorten the operation time and reduce intraoperative lavage fluid flow can effectively reduce postoperative fever.