Silber N, Kremer I, Gaton D D, Servadio C
Department of Urology, Beilinson Medical Center, Petah Tiqva, Israel.
J Urol. 1991 May;145(5):1045-6. doi: 10.1016/s0022-5347(17)38526-9.
A patient with life-threatening sepsis following extracorporeal shock wave lithotripsy (ESWL*) is described. The urosepsis was complicated by meningitis and diffuse metastatic endophthalmitis necessitating enucleation of the right eye. Retinal detachment occurred in the left eye following focal endophthalmitis and the operation yielded a poor functional result. The patient was discharged from the hospital 3 months after the ESWL therapy, free of urinary stones. The etiology, treatment and prophylaxis of this serious problem are discussed.
本文描述了1例体外冲击波碎石术（ESWL*）后发生危及生命的脓毒症的患者。该泌尿道脓毒症并发脑膜炎和弥漫性转移性眼内炎，右眼需行眼球摘除术。左眼在局灶性眼内炎后发生视网膜脱离，手术效果不佳。患者在ESWL治疗3个月后出院，无尿路结石。本文还讨论了这一严重问题的病因、治疗及预防措施。
