经皮肾镜碎石术后大出血的处理分析

摘要

目的：分析经皮肾镜碎石术后大出血的处理。方法：收治行经皮肾镜碎石术取石术大出血患者78例，观察患者临床治疗效果并对大出血原因进行分析。结果：78例患者在术后3～7 d内出现出血，出血量300～1000 mL。其中77例患者进行通道压迫止血和止血药物治疗后情况改善；无肾切除或死亡患者。结论：在经皮肾镜碎石术后大出血的处理上，做好术前准备工作，及时采取相应救治措施。%Objective:To analyze the treatment of massive hemorrhage after percutaneous lithotripsy.Methods:78 patients with massive hemorrhage after percutaneous renal lithotripsy were selected.The clinical therapeutic effect of the patients was observed and the causes of major bleeding was analyzed.Results:In 78 cases,bleeding occurred within 3~7 d after operation,and the amount of bleeding was 300~1 000 mL.77 cases of patients with channel compression hemostasis and after drug treatment to improve the situation;patients without renal resection or death.Conclusion:In the treatment of large hemorrhage after percutaneous renal lithotripsy,we should do a good job preparation,and take appropriate treatment measures in time.