上尿路手术后内置双J管致发热分析

目的探讨上尿路手术后内置双J管致发热的原因及处理。方法回顾性分析25例上尿路手术后内置双J管致发热病例。结果双J管被凝血块、粘液、纤维素及尿盐结晶、结石堵塞致发热19例，异物反应致发热3例，双1管位置不当致发热2例，尿液返流致发热1例。结论双J管的使用对防止上尿路手术后漏尿和狭窄及术后病情恢复具有重要作用，但使用不当可引起发热。

Analysis of double J ureteral catheter caused fever after upper urinary operation

To evaluate why the patient who placed double J ureteral catheter after upper urinary operation occurred fever. The clinical data of 25 cases underwent double J ureteral catheter were reviewed. 19 cases of catheter obstruction, 3 cases of foreign body rejected, 2cases of catheter,s position not appropriate, 1 cases of urine returned. [Conclusion] Double J ureteral catheter is very helpful in preventing urine leakage and ureter stricture, also important for postoperative recovery, but fever may occur when done incorrectly. The causes of disease: catheter obstruction, foreign body rejected, catheter's position not appropriate, urine return.