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经皮肾镜钬激光碎石术(PCNL)是目前治疗肾及输尿管上段结石的常用方式,具有定位准、创伤小、术后恢复快,结石取净率高等优点,近年来被越来越多的泌尿外科医师和结石患者所接受[1]。但由于术中必须取俯卧位或前倾侧卧位,特别是术中必须使用大量的灌注液及较高的灌流压,易引起呼吸循环功能改变和灌流液吸收入血和渗漏,导致血流动力学改变和水电解质失衡等灌注液综合征,出现稀释低钠
Percutaneous nephrolithotomy holmium laser lithotripsy (PCNL) is the common treatment of upper ureter and renal calculi at present. It has the advantages of accurate positioning, less trauma, quick recovery after operation, higher rate of taking stones, and more and more in recent years Of urologists and patients with stone [1]. However, due to intraoperative prone position or anteversion lateral position, in particular, intraoperative must use a large number of perfusion fluid and perfusion pressure, easily lead to changes in respiratory function and perfusion fluid absorption into the blood and leakage, leading to blood flow Kinetic changes and imbalance of water and electrolyte perfusion fluid syndrome, dilution appears low sodium