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输尿管结石合并发热患者的急诊处理

The emergency management of patients with ureteral calculi and fever.

作者信息

Klein L A, Koyle M, Berg S

出版信息

J Urol. 1983 May;129(5):938-40. doi: 10.1016/s0022-5347(17)52466-0.

Abstract

Patients presenting with ureteral calculi and fever were treated with antibiotics, fluids and careful monitoring. An emergency operation or ureteral manipulation was withheld until the patient became afebrile. In 14 patients so treated all became afebrile and 11 required no surgical intervention. It is suggested that carefully monitored resuscitation should precede instrumentation in patients with urinary stones and fever.

摘要

出现输尿管结石并伴有发热的患者接受了抗生素、补液治疗及密切监测。在患者退热之前,暂不进行急诊手术或输尿管操作。接受如此治疗的14例患者均退热,其中11例无需手术干预。建议对于有尿路结石并发热的患者,在进行器械操作之前应先进行仔细监测下的复苏治疗。

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