论文部分内容阅读
目的:探究体外冲击波碎石并发尿脓毒症的临床特征与防治措施。方法:选择2010年8月-2015年8月于本院接受体外冲击波碎石治疗肾结石术后并发尿脓毒症患者36例,经血细菌培养,其中16例大肠埃希菌,12例肺炎克雷伯杆菌,8例恶臭假单胞菌合并大肠埃希菌感染。给予全部尿脓毒症患者常规治疗。结果:36例经体外冲击波碎石并发尿脓毒症患者临床资料分析,女性患者显著多于男性患者(P<0.05);高龄患者显著多于低龄患者(P<0.05);免疫系统疾病、糖尿病合并症发病率高于其他合并症(P<0.05);双侧病变显著多于单侧(P<0.05);下段、中段结石位置发病率显著高于上段(P<0.05)。36例经体外冲击波碎石并发尿脓毒症患者,治疗后病情已基本控制,生命体征平稳,12例出现同侧输尿管结石梗阻,经治疗后排除结石。最终36例患者均痊愈出院。结论:临床应提起对尿脓毒症危险因素的重视,做好早期诊断与预防工作,有效控制尿脓毒症发病率。
Objective: To investigate the clinical characteristics and prevention measures of extracorporeal shock wave lithotripsy with urinary sepsis. Methods: From August 2010 to August 2015, 36 patients with urinary sepsis treated with ESWL in our hospital were enrolled in this study. Of them, 16 were Escherichia coli and 12 were treated with pneumonia Reborn, 8 cases of Pseudomonas putida with Escherichia coli infection. Give all urinary sepsis patients routine treatment. Results: The clinical data of 36 cases with extracorporeal shock wave lithotripsy and urinary sepsis showed that there were more female patients than male patients (P <0.05), elderly patients were significantly more than those of younger patients (P <0.05), immune system diseases, diabetes The morbidity of comorbidities was higher than that of other comorbidities (P <0.05). The bilateral lesions were significantly more than unilateral (P <0.05). The incidence of lower and middle stones was significantly higher than that of upper ones (P <0.05). 36 cases of extra-shock wave lithotripsy with urinary sepsis patients, after treatment, the disease has been basically controlled, stable vital signs, ipsilateral ureteral calculi obstruction in 12 cases, after treatment to remove stones. The final 36 patients were cured and discharged. Conclusions: The clinic should put emphasis on the risk factors of urinary sepsis, do early diagnosis and prevention work, and effectively control the incidence of urinary sepsis.