阻塞性肺炎的紧急治疗:一个单一中心系列
Bulent Kati1, Eser Ordek2, Omer Madsar3
1Urology Department, Faculty of Medicine, Harran University, Sanliurfa. bulentkati@yahoo.com.
概括
穿皮瘤切除术 (PCN) 提供比阻塞性肺炎的双J (DJ) 支架更快的控制发烧和感染解决. 这两种方法都是安全的,但PCN促进了早期的外科干预.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
背景情况:
- 阻塞性肺炎 (OP) 需要及时治疗,以防止并发症.
- 尿道的排水对于治疗OP至关重要.
研究的目的:
- 为了比较皮肤穿神经切除术 (PCN) 和逆行性尿道双J (DJ) 支架插入在OP患者中的疗效和安全性.
主要方法:
- 评估了77名因石头而导致OP的患者队列.
- 治疗选择 (PCN或DJ支架) 是临床医生决定的.
- 关键参数包括发烧,白细胞计数,C反应蛋白和培养结果.
主要成果:
- 与DJ支架组 (31名患者) 相比,PCN组 (46名患者) 显示出更高的术前发烧和阳性培养率.
- 在PCN组 (7-9天) 中,控制发烧和解决感染参数的速度明显更快.
- 没有患者患有晚期尿;PCN促进了早期的手术治疗.
结论:
- 无论是PCN还是DJ支架插入都是OP管理的有效和安全方法.
- 在局部麻醉下PCN提供快速控制发烧,并使得早期的手术干预.
- 第三代头素在经验初步治疗OP中是有效的.
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