摘要
目的探讨经皮肾穿刺取石术后出现凝血功能异常出血的原因及治疗方法。方法对10例经皮肾穿刺取石术后出血患者的临床资料进行回顾性分析。患者术后出血常见原因有假性动脉瘤、动静脉瘘等,均给予止血药物等治疗无效,即行血生化检查发现凝血功能明显异常,给予输冷沉淀、新鲜冰冻血浆以纠正凝血功能异常。结果10例患者经输冷沉淀、新鲜冰冻血浆后,血尿消失,出血控制,回访1~3个月,未再发生活动性出血。结论经皮肾穿刺取石术后出血需警惕凝血功能障碍所致,应及时纠正。
Objective To investigate the causes and treatment of coagulant function abnormality-induced bleeding after percutaneous nephrolithotomy.Methods Data of 10 patients with bleeding after percutaneous nephrolithotomy were analyzed retrospectively.The common causes of postoperative bleeding included false aneurysm,arteriovenous fistula,etc.Obvious coagulant function abnormality was found by biochemical examination after ineffective treatment with hemostatic drugs.Therefore,patients were given cryoprecipitate and fresh frozen plasma to correct coagulant function abnormality.Results After transfusion of cryoprecipitate and fresh frozen plasma,hematuresis disappeared and bleeding was controlled in all patients.After follow-up for 1-3months,no active bleeding occurred in all patients.Conclusion It should be noted that the bleeding after percutaneous nephrolithotomy is caused by coagulant function abnormality,which should be corrected timely.
出处
《实用临床医学（江西）》
CAS
2016年第2期28-30,共3页
Practical Clinical Medicine
关键词
经皮肾取石
肾出血
凝血功能
percutaneous nephrolithotomy
renal bleeding
coagulant function
