Risk factors of septic shock after mini-percutaneous nephrolithotripsy
10.3969/j.issn.1007-1989.2016.07.003
- VernacularTitle:微通道经皮肾镜取石术感染性休克危险因素分析
- Author:
Guihua CAO
;
Xuede QIU
;
Zhipeng LI
;
Delin YANG
;
Shunhui YUAN
;
Lu YU
;
Chunwei YE
;
Zhuoheng LI
- Keywords:
mini-percutaneous nephrolithotripsy;
septic shock;
risk factors
- From:
China Journal of Endoscopy
2016;22(7):10-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the risk factors of septic shock after mini-percutaneous nephrolithotripsy (mPCNL). Methods Clinical data of 1 590 cases who underwent mPCNL from January 2013 to December 2014 were retrospectively analyzed. The x2 test and logistic regression were used to identify the key risk factors for septic shock after mPCNL. Results Of the 1 590 patients, 18 patients suffered septic shock, including 6 male patients and 12 fe﹣male patients. Their mean age was (45.6 ± 13.5) years (28 ~ 69 years). White cell in urine was 100 percent, the stone diameter ranged from 1.5 to 5.0 cm, unichannel for 15 cases while multichannel for 3 cases, the operation du﹣ration ranged from 45 to 200 min, mean (87.0 ± 56.0) min. 2 in 18 cases died in multiple organ failure, the others recovered till discharged. In x2 test, female gender (P = 0.001), (+++ ~ ++++) white cells in urine (P= 0.042), un-preoperative nephrostomy drainage (P=0.041) had significant association with septic shock after mPCNL. While in multivariate analysis, female gender ( O? = 5.471, 95 % CI: 0.756~21.452, P< 0.05) and un-preoperative nephrostomy drainage (O? =3.106, 95%CI:1.283~7.907, P<0.05) were identified as independent risk factors for septic shock after mPCNL. Conclusions Female gender and un-preoperative nephrostomy drainage are the key risk factors for septic shock after mPCNL.
