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- W3029803240 abstract "Objective To identify the correlation factors for urosepsis shock after endourology surgery and analyze its clinical characteristics.Methods Fifty-eight patients with urosepsis without shock and 15 patients with shock were studied.Factors which may be correlated with the development of sepsis were analyzed including age,sex,ASA physical status,history of urinary tract infection,preoperative leukocyturia,urine bacteria culture,prophylactic antimicrobial treatment,pyonephrosis,type of surgery,duration of operation,blood leukocyte count and concentration of creactive protein at the end of surgery,the time when the signs of infection (shivering,agitation,nausea or vomiting) first appeared.Changes in BP in patients with urosepsis shock,scores for multiple organ dysfunction syndrome as well as treatment and prognosis were also recorded.Results Female sex and early emergence of signs of infection after surgery were correlated with urosepsis shock.Abrupt hypotension was usually the first manifestation of urosepsis shook.The lowest systolic BP was positively correlated with the time when diagnosis of shock was made and negatively correlated with the length of ICU stay and the highest multiple organ dysfunction syndrome scores but not correlated with shock correction time.All patients with urosepsis shock recovered completely when discharged from hospital.Conclusion Female sex and patients with early emergence of signs of infection are prone to develop urosepsis shock after endourology operation.The prognosis of urosepsis shock is good if diagnosed and treated in time.Key words: Shock,septic; Risk factors; postoperative complications; Urologic surgical procedures" @default.
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- W3029803240 date "2012-06-20" @default.
- W3029803240 modified "2023-09-22" @default.
- W3029803240 title "Correlation factors for and clinical characteristics of urosepsis shock after endourology surgery" @default.
- W3029803240 doi "https://doi.org/10.3760/cma.j.issn.0254-1416.2012.06.022" @default.
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