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我院自1989年3月～1991年7月,应用上海交大研制的ESWL—Ⅲ型体外震波碎石机治疗泌尿系结石971例,其中发生梗阻性肾盂肾炎致肾功能损害、败血症及中毒性休克,肝挫伤大出血致出血性休克共6例,占0.62%.现就6例严重并发症的临床表现及处理进行分析,并对其发病机理、处理及预防等问题进行探讨.1 临床资料1.1 一般资料6例全部为男性,入院时查肝功能、胸透、心电图及肝、脾B超均正常.血、尿、粪三大常规正常.1.2 ESWL 情况(见表1)
In our hospital from March 1989 to July 1991, the application of ESWL-Ⅲ type of extracorporeal shock wave lithotripsy machine developed by Shanghai Jiaotong University in the treatment of 971 cases of urinary stones, including renal cell damage caused by obstructive pyelonephritis, sepsis and toxic shock , Hemorrhagic shock caused by hepatic contusion bleeding in 6 cases, accounting for 0.62% .There are 6 cases of serious complications of clinical manifestations and treatment analysis, and its pathogenesis, treatment and prevention and other issues.1 Clinical data 1.1 General Data 6 cases were all male, checked liver function, chest X-ray, electrocardiogram, liver and spleen B-ultrasound were normal at admission, blood, urine and feces three routine normal.1.2 ESWL situation (see Table 1)