Abstract:Minimally invasive percutaneous nephralithotomy lithotripsy (MPCNL)is a common method for the treatment of upper ureteral calculi and renal calculi.Postoperative bleeding is one of the most common and major complications,it is a complication caused by multiple factors.Commonly used conservative hemostatic schemes are bed rest,closed the renal fistula tube,balloon compression and drug hemostasis.This paper reports a case of a patient with ureteral calculi and renal calculi,who is treating by MPCNL and the operation was smooth.After the operation,Agkistrodon Snake Venom Hemocoagulase was used to treat the patients with hypoproteinemia and hemorrhage,and the patients developed hypofibrinogenemia and bleeding.Literature review was conducted in this case to explore the causes of postoperative hemorrhage after MPCNL,methods of hemostasis,matters needing attention and suggestions for the application of Agkistrodon Snake Venom Hemocoagulase.
何林;赖炳旺. 白眉蛇毒血凝酶致经皮肾镜碎石取石术后低纤维蛋白原性出血1例报告并文献复习[J]. 中国当代医药, 2019, 26(3): 196-198.
HE Lin LAI Bing-wang. A case report and literature review about low fibrinogen hemorrhage af-ter percutaneous nephroscopy caused by Agkistrodon Snake Venom Hemocoagulase. 中国当代医药, 2019, 26(3): 196-198.
Karalar M,Tuzel E,Keles L,et al.Effects of parenchymal thickness and stone density values on Percutaneous Nephro lithotomy outcomes[J].Med Sci Monit J,2016,22(14):4363-4368.