| 刘高岩 于时良 安瑞华△ 白玉凤 刘亚东.上尿路结石患者行经皮肾镜手术术后发热的影响因素研究[J].,2016,16(16):3074-3077 |
| 上尿路结石患者行经皮肾镜手术术后发热的影响因素研究 |
| Research on the Influencing Factors of Postoperative Fever of Urinary StonesPatients Treated by PCNL |
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| DOI： |
| 中文关键词: 经皮肾镜取石术 感染 发热 上尿路结石 |
| 英文关键词: Percutaneous nephrostolithotomy Infection Fever Upper urinary tract calculi |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨经皮肾镜取石术(PCNL)治疗上尿路结石术后发热的影响因素。方法：回顾性分析在我院行经PCNL治疗的89 例
上尿路结石患者的病例资料，分别对患者的性别、年龄、术前肾积水的程度、结石的大小、尿培养的结果、手术持续的时间以及术
中灌注液等情况进行分析，探讨其与PCNL 术后发生发热的相关性。结果：本组资料中，发热(＞38℃)人数为19 人，占21.3%。其
中，术前尿培养阳性、结石直径大于3 cm、合并中度及中度以上肾积水、手术持续时间长、灌注液用量多的上尿路结石患者PCNL
术后发热的几率明显升高(P<0.05)。而年龄、性别与上尿路结石患者PCNL术后发热的几率无明显相关性(P>0.05)。结论：术前预
防性应 |
| 英文摘要: |
| Objective:Study the related factors of fever after the treatment of upper urinary tract calculi by using percutaneous
nephrostolithotomy (PCNL).Methods:A retrospective analysis of percutaneous nephrolithotomy surgery 89 cases of urinary stone
information in our hospital, and respectively, gender, age, degree of hydronephrosis, stone size, urine culture, surgical duration and
intraoperative perfusion fluid and so much to analyze, then the statistical relationship with complicated severe infections was investigated.Results:19 people had Fever (> 38 ℃ ) in this set of data which was taking up 21.3%. The preoperative positive urine culture, stone
diameter greater than 3 cm, merged with moderate and moderater hydronephrosis, long duration of surgery, infusion liquid dosage
postoperatively in patients with more complicated with infection rates rise significantly（P＜0.05）. And other factors conclued age and
gender of concurrent infection have no significant influence (P＞0.05).Conclusion:Percutaneous nephrolithotomy postoperative fever is
common, serious infection could happen if it is not well control, preoperative prophylactic borad-spectrum antibiotics administration,
surgery low-pressure perfusion, shorter operative time, preoperative puncture drainage and so on are all effective measures to prevent
infection. |
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