Necessity of opening the nephrostomy tube for patients with septic shock after percutaneous nephrolithotomy
10.3969/j.issn.1671-9638.2018.02.009
- VernacularTitle:经皮肾镜碎石术后感染性休克患者开放肾造瘘管必要性的研究
- Author:
Zhi LIU
1
;
Jun XIAO
;
Da-Qing PANG
;
Kui WU
Author Information
1. 安徽省立医院
- Keywords:
percutaneous nephrolithotomy;
nephrostomy tube;
septic shock
- From:
Chinese Journal of Infection Control
2018;17(2):132-135
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the necessity of opening nephrostomy tube for patients with septic shock follow-ing the indwelling double-J stent of post-percutaneous nephrolithotomy (PCNL),and provide reference for the treatment of septic shock after PCNL.Methods 60 patients with septic shock after PCNL in a hospital from January 1,2015 to December 30,2016 were chosen,patients were randomly divided into clipping nephrostomy tube group (clipping group,n =30) and opening nephrostomy tube group (opening group,n =30),clinical data of two groups of patients were collected and analyzed.Results After 24-hour treatment,heart rate (HR),mean arterial pressure (MAP),oxygen saturation (SpO2),serum lactate (Lac),and hourly urine volume all improved in both groups of patient compared with pre-treatment(all P＜0.05);HR,MAP,SpO2,Lac,and hourly urine volume in opening group after 24-hour treatment were all significantly different from clipping group (all P＜0.05).Levels of serum procalcitonin (PCT) and C-reactive protein (CRP) in two groups after 3-day treatment decreased significantly compared with pre-treatment (both P＜0.05);PCT and CRP levels in opening group after 3-day treatment were both significantly lower than clipping group (both P＜0.05);cure rate of two groups were both 100.00％,hospitalization time and extubation time in opening group were both shorter than clipping group,and cost was less than clipping group,difference were all significant(all P＜0.05).Conclusion Opening nephrostomy tube on the basis of indwelling double-J stent is necessary for patients with septic shock after PCNL.
