接受超声碎石术和体外冲击波碎石术患者的内毒素血症

Endotoxemia in patients who underwent ultrasonic lithotripsy and extracorporeal shock wave lithotripsy.

作者信息

Tanaka M, Matsumoto T, Kitada S, Kumazawa J, Hara S, Yamaguchi A

机构信息

Department of Urology, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

出版信息

Eur Urol. 1988;14(3):173-7. doi: 10.1159/000472931.

DOI:10.1159/000472931

PMID:3383926

Abstract

The authors conducted limulus tests of assay blood endotoxin in order to study the fever which often develops after ultrasonic lithotripsy (USL) and extracorporeal shock wave lithotripsy (ESWL). Assays of endotoxin were also conducted after transurethral resection (TUR) and other operations as a basis for comparison. Endotoxemia was observed in 18 among 28 patients (64.3%) who underwent USL, in 8 among 34 patients (23.5%) who underwent ESWL, in 1 among 14 patients (7.1%) who underwent TUR and in 1 among 11 patients (9.1%) who underwent other operations. The incidence of endotoxemia was significantly higher (p less than 0.01 by chi 2 test) in patients who had undergone USL than in those who had undergone ESWL, TUR or other operations.

摘要

作者进行了鲎试剂检测以测定血液内毒素，目的是研究超声碎石术（USL）和体外冲击波碎石术（ESWL）后经常出现的发热情况。还对经尿道切除术（TUR）及其他手术术后进行了内毒素检测，作为比较的基础。接受USL的28例患者中有18例（64.3%）出现内毒素血症，接受ESWL的34例患者中有8例（23.5%），接受TUR的14例患者中有1例（7.1%），接受其他手术的11例患者中有1例（9.1%）。接受USL的患者内毒素血症发生率显著高于接受ESWL、TUR或其他手术的患者（经卡方检验，p<0.01）。