Clinical diagnosis and treatment of severe hydronephrosis induced vagus reflex by percutaneous renal puncture decompression
10.3760/cma.j.cn112330-20200525-00426
- VernacularTitle:重度肾积水经皮肾穿刺减压术诱发迷走神经反射的诊疗分析
- Author:
Wuxue LI
;
Changbao XU
;
Xinghua ZHAO
;
Bin HAO
;
Youzhi WANG
;
Changwei LIU
;
Xiaofu WANG
- From:
Chinese Journal of Urology
2021;42(3):229-230
- CountryChina
- Language:Chinese
-
Abstract:
Vagus nerve reflex is a rare complication of percutaneous renal decompression. It is often induced by excessively rapid decompression of severe hydronephrosis and traction of the main nerves innervating the kidney. The clinical manifestations are irritability, sweating, clammy skin, hiccups, slow heart rate. It is easy to misdiagnose. In this study, 4 patients with vagus nerve excitement after percutaneous renal decompression were treated. After monitoring the patient’s vital signs and giving treatment such as expanding blood volume and raising blood pressure, the symptoms gradually disappeared.
