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经皮肾镜取石术围手术期并发症

[Peroperative complications during percutaneous nephrolithotomy].

作者信息

Hernando Pastor D, Segalerva Sánchez A, Soler Corbera J, Baxarias Gascón P

机构信息

Servicio de Anestesia y Reanimación, Fundación Puigvert, Barcelona.

出版信息

Rev Esp Anestesiol Reanim. 1990 Jul-Aug;37(4):205-9.

PMID:2077593
Abstract

Two hundred seventy patients undergoing resection of renal or lumbar ureteral stones with percutaneous nephrolithotomy (PNL) were reviewed. The observed complications were of three types: circulatory, respiratory and metabolic (reabsorption syndrome). The rate of patients with any complication was 38.9% (104 patients). The most common type were circulatory complications, found in 75 patients (27.7%). Respiratory complications developed in 22 patients (8.1%), and the remaining 2 patients (0.74%) had reabsorption syndrome. Six cases of severe complications developed (2.22%), i.e.: one electromechanical dissociation, one ventricular tachycardia, one reabsorption syndrome and two severe difficulties for ventilation. In addition, one patient died (0.37%).

摘要

回顾了270例行经皮肾镜取石术(PNL)切除肾或输尿管上段结石的患者。观察到的并发症有三种类型:循环系统、呼吸系统和代谢(吸收综合征)。出现任何并发症的患者比例为38.9%(104例患者)。最常见的类型是循环系统并发症,75例患者出现(27.7%)。22例患者出现呼吸系统并发症(8.1%),其余2例患者(0.74%)出现吸收综合征。出现6例严重并发症(2.22%),即:1例心电机械分离、1例室性心动过速、1例吸收综合征和2例严重通气困难。此外,1例患者死亡(0.37%)。

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