Cause Analysis and Prevention of Severe Bleeding Caused by Percutaneous Nephroscopic Pneumatic and Ultrasound Lithotripsy Misoperation
LIANG Rong-xing
GUO Jian-jun
YANG Ying-gang
YUAN Peng-fei
Abstract：Objective To investigate the cause of severe bleeding caused by percutaneous nephroscopy pneumatic and ultrasound lithotripsy misoperation, and to sum up preventive measures. Methods Retrospective analysis of the clinical data of 17 cases of complex renal calculi treated by percutaneous nephrolithotomy pneumatic ballistic ultrasonic lithotripsy and had severe bleeding in our hospital during March 2012 and February 2014 were made. Results In the 17 cases, bleeding a-mount was over 300 ml. Bleeding was effectively controlled in 12 cases by channel compression hemostasis, fistula traction and hemostasis medicine conservative treatment. 5 cases of postoperative bleeding, 2 cases of conservative treatment were effec-tive, and 3 cases were controlled after renal artery embolization. After a follow up for 2-5 months, the normal renal function was recovered in all the patients and no bleeding occurred again. Conclusion Improper selection of puncture position, re-peated renal biopsy gravel and improper extubation operation are the main causes of kidney stones in patients with percutaneous nephroscopic and ultrasonic lithoclast and ultrasound and severe bleeding in operation, and postoperative bleeding. Conserva-tive treatment and renal artery embolization can control severe hemorrhage, and reduce the damage to the kidneys.
Keywords：Kidney calculiPercutaneous ultrasonic lithotripsyIntraoperative complicationPostoperative complica-tionHemorrhageFactor analysisPrevention and control measure
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 67-69 )