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上尿路手术后留置双J管发热原因及处理
引用本文:汤昊,孙颖浩,侯建国,许传亮,高旭,叶华茂.上尿路手术后留置双J管发热原因及处理[J].中华腔镜泌尿外科杂志(电子版),2008,2(1):26-28.
作者姓名:汤昊  孙颖浩  侯建国  许传亮  高旭  叶华茂
作者单位:第二军医大学附属长海医院泌尿外科,上海市,200433
摘    要:目的探讨上尿路手术后留置双J管致发热的原因及处理。方法回顾性分析2004年2月至2006年10月2086例上尿路手术后留置双J管患者临床资料。结果留置双J管致发热15例,其中双J管被凝血块、粘液、纤维素及尿盐结晶、结石堵塞致发热7例,异物反应引起发热5例,双J管位置不当致发热2例,尿液返流致发热1例。结论上尿路手术后留置双J管可有效防止术后漏尿和输尿管狭窄,有助于上尿路手术后病情恢复,但留置双J管引起发热应积极处理和预防。

关 键 词:双J管  发热  治疗

Clinical analysis of double J ureteral catheter caused fever after upper urinary operation
Authors:TANG Hao  SUN Ying-hao  HOU Jian-guo  XU Chuan-liang  GAO Xu  YE Hua-mao
Institution:TANG Hao, SUN Yin-hao, HOU Jian-guo, XU Chuan-liang, GAO Xu, YE Haa- mao. (Department of Urology, Changhai Hospital. The 2nd Military Medical University, Shanghai 200433, China)
Abstract:Objective To investigate the reason and treatment of occurred fever of the patient who placed double J ureteral catheter after upper urinary operation. Methods The clinical data of 2 086 cases underwent double J ureteral catheter were reviewed from Feb 2004 to Oct 2006 respectively. Results The cause of fever was due to catheter obstruction in 7 cases, foreign body reaction in 5 cases, catheters position was not appropriate in 2cases and urine returned in 1 case. Conclusions Double J ureteral catheter can prevent urine leakage and ureter stricture appropriately and to promote an earlier postoperative recovery after upper urinary operation. But fever owing to placing double J ureteral catheter should be prevented and treated promptly.
Keywords:double J ureteral catheter  fever  treatment
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