国际麻醉学与复苏杂志   2011, Issue (5): 639-0
    
经皮肾镜碎石术并发急性肺水肿及重症感染一例
李凤仙, 徐世元, 曾繁荣1()
1.南方医科大学珠江医院麻醉科
Acute pulmonary edema combined with severe sepsis during percutaneous nephrolithotomy—a case report
 全文:
摘要：

经皮肾镜碎石术（percutaneous nephrolithotomy，PCNL）是尿石症的现代先进、微创治疗方法之一，在临床上应用广泛，但手术过程中可出现多种相关并发症。本病例报道了一ASAⅠ级女性患者，在手术即将结束时出现了顽固性低氧血症，继而出现休克、ARDS、DIC直至全身多器官功能衰竭，为PCNL术中同时合并了急性肺水肿及重症感染所致，提示在该类手术中应密切注意不寻常的咳嗽、寒战等表现；防止脓毒血症及急性肺水肿的发生。
关键词： 经皮肾镜碎石术；急性肺水肿；重症感染；低氧血症；MODS
Abstract:

Percutaneous nephrolithotomy is one of the modern and microinvasive method to cure Urinary calculus. There are some complications during this process. We reported a case of severe hypoxia during PCNL under epidural block. The woman who coughed and chilled just after the procedure, then develop to acute pulmonary edema and severe sepsis, which brought her to shock then DIC and MODS.
Key words: Percutaneous nephrolithotomy；acute pulmonary edema；severe sepsis；severe hypoxia；MODS