Tahara H, Katoh Y, Yano H, Kanbara N, Kohri K, Kurita T
Department of Urology, Kanbara Hospital.
Hinyokika Kiyo. 1993 Dec;39(12):1119-24.
We have experienced 5 cases of septic shock induced by extracorporeal shock wave lithotripsy (ESWL) and percutaneous nephrostomy. We suspected 5 causes of septic shock; severe hydronephrosis, nephrostomy tube itself, an increase of intrarenal pressure, bacteria in urinary stone, and hepatic failure. Based on the above suspected causes of septic shock, we suggested 3 prophylactic treatments for septic shock; a preventive administration of antibiotics before ESWL and percutaneous nephrostomy, proper management of nephrostomy tube, and early diagnosis and treatment for septic shock.
我们遇到了5例由体外冲击波碎石术（ESWL）和经皮肾造瘘术引起的感染性休克病例。我们怀疑感染性休克有5个原因：严重肾积水、肾造瘘管本身、肾内压力升高、尿路结石中的细菌以及肝功能衰竭。基于上述感染性休克的可疑原因，我们提出了3种感染性休克的预防性治疗方法：在ESWL和经皮肾造瘘术前预防性使用抗生素、妥善管理肾造瘘管以及对感染性休克进行早期诊断和治疗。
