论文部分内容阅读
我院自1988年7月至1989年12月应用西门子Lithostar碎石机,行体外震波碎石术(ESWL)1000例,其中发生严重并发症6例(0.6%)。为引起临床重视,现报告如下: 1.肾积脓:本组2例,均为ESWL后碎石阻塞肾盂输尿管交界(PuJ)处继发急性感染所致。例1,女,60岁。在19年前曾行左肾盂切开取石术,术后复发,形成鹿角状结石(6.0×4.5cm),经2次ESWL后排出碎石百余枚,但因PuJ处被碎石阻塞而发生肾积脓,经用大量抗生素不能控制,高热不退,持续4周,只好行左肾切除术治愈。例2,女,32岁。为左肾多发结石,结石大小为2.3×1.5cm、1.5×1.3cm不等。第一次ESWL后,碎石堵塞PuJ处,发冷发热,紧急行输尿管插管,放出脓汁85ml。感染控制,两周后行第二次ESWL而治愈,可见,
Our hospital from July 1988 to December 1989 Siemens Lithostar lithotripsy, extracorporeal shock wave lithotomy (ESWL) in 1000 cases, of which 6 cases of serious complications (0.6%). To cause clinical attention, are as follows: 1. Renal empyema: The group of 2 patients, both ESWL lithotripsy at the junction of the ureteropelvic junction (PuJ) caused by acute infection. Example 1, female, 60 years old. 19 years ago, left renal pelvis incision lithotomy, postoperative recurrence, the formation of antlers (6.0 × 4.5cm), after two ESWL excretion of more than 100 pieces of gravel, but because of PuJ was gravel occlusion and occurred Renal empyema, with a large number of antibiotics can not control, high fever, for 4 weeks, only left nephrectomy cure. Example 2, female, 32 years old. For the left kidney multiple stones, stone size 2.3 × 1.5cm, 1.5 × 1.3cm range. After the first ESWL, the gravel plugged PuJ Department, chills fever, emergency ureter intubation, release pus 85ml. Infection control, two weeks after the second ESWL cure, we can see,