治疗前合并菌尿的上尿路结石患者体外冲击波碎石术后发热。

Fever after extracorporeal shock wave lithotripsy for patients with upper urinary tract calculi associated with bacteriuria before treatment.

作者信息

Shigeta M, Hayashi M, Igawa M

机构信息

Department of Urology, Takanobashi Central Hospital, Hiroshima, Japan.

出版信息

Eur Urol. 1995;27(2):121-3. doi: 10.1159/000475141.

DOI:10.1159/000475141

PMID:7744153

Abstract

The present study was carried out to determine the relationship between fever (> or = 38 degrees C) after extracorporeal shock wave lithotripsy (ESWL) and the history of bacteriuria before ESWL. The subjects of this study comprised 958 patients. Significant bacteriuria before ESWL was found in 75 patients. These patients were treated with antibiotics and underwent ESWL after bacteriuria disappeared. Despite treatment with antibiotics, the patients with bacteriuria before ESWL had a significantly higher incidence of fever after ESWL than those without bacteriuria. Among the 14 patients whose high fever persisted after ESWL, the patients with bacteriuria included 7 (50%) with stones > 20 mm in size. The patients with stones > 20 mm and bacteriuria before ESWL had a high risk of persistent high fever after ESWL.

摘要

本研究旨在确定体外冲击波碎石术（ESWL）后发热（≥38摄氏度）与ESWL术前菌尿病史之间的关系。本研究的对象包括958例患者。75例患者在ESWL术前发现有显著菌尿。这些患者接受了抗生素治疗，菌尿消失后接受了ESWL。尽管使用了抗生素治疗，但ESWL术前有菌尿的患者ESWL后发热的发生率显著高于无菌尿的患者。在ESWL后高热持续的14例患者中，有菌尿的患者包括7例（50%）结石大小>20mm。ESWL术前结石>20mm且有菌尿的患者ESWL后持续高热的风险较高。