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经皮肾镜碎石术-急性肺水肿、重症感染-多器官功能衰竭
引用本文:李凤仙,徐世元,曾繁荣. 经皮肾镜碎石术-急性肺水肿、重症感染-多器官功能衰竭[J]. 国际麻醉学与复苏杂志, 2011, 32(5): 639-640,后插1. DOI: 10.3760/cma.j.issn.1673-4378.2011.10.032
作者姓名:李凤仙  徐世元  曾繁荣
作者单位:南方医科大学珠江医院麻醉科,广州,510282
摘    要:经皮肾镜碎石术(percutaneous nephrolithotomy,PCNL)是尿石症的现代先进、微创治疗方法之一,在临床上应用广泛,但手术过程中可出现多种相关并发症.现报道1例ASAⅠ级的女性患者,在手术即将结束时出现了顽固性低氧血症,继而出现休克、急性呼吸窘迫综合征、弥散性血管内凝血直至全身多器官功能衰竭,为...

关 键 词:经皮肾镜碎石术  重症感染  急性呼吸窘迫综合征  肺水肿

Percutaneous nephrolithotomy-acute pulmonary edem combined with severe sepsis-multiple organ failure
LI Feng-xian,XU Shi-yuan,ZENG Fan-rong. Percutaneous nephrolithotomy-acute pulmonary edem combined with severe sepsis-multiple organ failure[J]. international journal of anesthesiology and resuscitation, 2011, 32(5): 639-640,后插1. DOI: 10.3760/cma.j.issn.1673-4378.2011.10.032
Authors:LI Feng-xian  XU Shi-yuan  ZENG Fan-rong
Abstract:Percutaneous nephrolithotomy(PCNL)is one of the modem and microinvasive method to cure Urinary calculus.There are some complications during this process.We reported a case of severe hypoxia during PCNL under epidural block.The woman who coughed and chilled just after the procedure,then headed to acute pulmonary edema and severe sepsis,which brought her to shock then disseminated intravascular coagulation and multiple organ disufficiency syndron.The case gave us a lesson that we should take more attention while patients presented abnormal cough,shilling and hypoxemia,which indicated a severe condition of PCNL,a stepwise measure should be taken to prevent severe sepsis and lung edema.
Keywords:Percutaneous nephrolithotomy  Severe sepsis  Acute respiratory distress syndrome  Lung edema
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