Abstract

近年来,尿路感染引发脓毒症、脓毒性休克的报道已屡见不鲜,其中尿路梗阻是重要的促发因素。这类患者比非梗阻患者发生脓毒性休克的病死率高,且存活病例的住院时间及费用也明显高于非梗阻患者。尿路梗阻往往需要手术治疗,尤其是尿路结石,术中因冲洗液的持续正压冲洗、黏膜损伤、血窦开放等因素,较易导致脓毒症、脓毒性休克的发生,且病情较为凶险,病死率很高。现报道1例输尿管软镜碎石取石术中发生脓毒性休克的病例并深度讨论目前最新的脓毒性休克诊疗进展。

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