Galek L, Darewicz B, Werel T, Darewicz J
Department of Urology, Medical University of Bialystok, Poland.
Int Urol Nephrol. 2000;32(2):231-3. doi: 10.1023/a:1007126900772.
698 patients treated for nephrolithiasis with the application of percutaneous lithotripsy were analysed. In 32 cases increased bleeding in the course of the procedure occurred. It was controlled without surgery with blood transfusion, constant renal saline flow maintenance, electrocoagulation, kidney parenchyma pressing with thick drain and approach canal tamponade. In one case the approach to the kidney was obtained surgically and the kidney parenchyma was stitched with haemostatic suture. One patient required selective embolization due to kidney haemorrhage after nephrostomy drain removal.
对698例接受经皮碎石术治疗肾结石的患者进行了分析。在32例患者中，手术过程中出现了出血增加的情况。通过输血、持续维持肾盐水冲洗、电凝、用粗大引流管压迫肾实质以及填塞入路通道等方法，在未进行手术的情况下控制了出血。有1例患者通过手术进入肾脏，并用止血缝线缝合了肾实质。1例患者在拔除肾造瘘引流管后因肾脏出血需要进行选择性栓塞。
