Analysis of 5 cases of urine-induced sepsis afterflexible ureteroscope holmium laser lithotripsy and countermeasures
Mao Junbiao
Yuan Pingcheng
Gui Dingwen
Peng Wei
Chen Xiaogang
Zhang Qinghan
Abstract：Objective:To investigate prevention measures of urine-induced sepsis after flexible ureteroscope holmium la-ser lithotripsy in order to reduce the incidence.Methods:The clinical data of 5 cases of urine-induced sepsis after flexible ure-teroscope holmium laser lithotripsy were retrospectively analyzed.Two patients were diagnosed as having pyelolith,and three having calyceal calculus.Stone size was ranged from 1.5-2.5 cm.Blood routine test,hepatorenal function,chest radio-graphy,electrocardiogram before operation were normal.Urinalysis of three patients was normal,and leukocyte count of u-rinalysis was 5-12/Hp in two patients.Urine culture before operation was negative in 4 patients.The first urine culture was positive for Escherichia coli in one patient,and re-examination of urine culture was negative after sensitive antibiotic admin-istration.All patients were subjected to flexible ureteroscope holmium laser lithotripsy under general anesthesia.Results:Five patients had sepsis to varying degrees after operation and cured after sensitive antibiotic administration combined with symptomatic and supportive treatment.Conclusions:Urine-induced sepsis was one of the most serious complications.Suffi-cient preoperative preparation,control of operation time,postoperative monitoring closely and usage of sensitive antibiotic administration as soon as possiblewere key measures for preventing and treating urine-induced sepsis after flexible uretero-scope holmium laser lithotripsy.
Keywords：flexible ureteroscopeHolmium laserUrine-induced sepsiskidney stone
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( 221-223 )