Factors of preoperative septic shock associated with urolithiasis: an analysis and nursing progress

Title: Factors of preoperative septic shock associated with urolithiasis: an analysis and nursing progress 泌尿系结石术前伴感染性休克的因素分析及护理研究进展

Name(s): Li Shenzhen, Lan Yujie, Tang Chao, Xian Hongyi, Lin Xianping 李胜珍 蓝玉洁 唐超 咸虹伊 林贤萍

Abstract: The so-called urinary stones, which result in lumpy or granular aggregates after concentration and precipitation of urine, as a more common type of disease in urology, will occur in any part of the urethra ureter, bladder, and kidney, but mainly ureteral stones as well as kidney stones are more common in the clinic. There is considerable variation in the symptoms exhibited by stones presenting at different sites, which are mainly clinical, such as pain, frequency, clouding of the urine color, and low back pain, and in severe cases may contain sand stones or blood in the urine. In the accelerated pace of people's daily life along with the change of dietary habits at the present stage, leading to the incidence of such diseases shows a yearly increasing trend, and more commonly found in the South as well as in the male population of young adults, the age of patients is mostly at the age of 20-40 years. Other than that, the associated complications of this condition are more difficult to manage clinically, so adequate awareness as well as great attention has to be paid to urinary calculi because it has a high recurrence rate and may lead to urinary obstruction, produce damage and. The patient's renal pelvis, under the influence of the stones, places them on increased pressure, and the refluxing bacteria can invade the blood to cause septic shock to occur, causing severe damage to renal function. According to the related survey research shows that urinary stones now cannot be radical, for which caregivers strengthen nursing intervention in clinical treatment, patients must actively cooperate with the development of nursing work to bed rest, thereby reducing the probability of related complications and effectively improving the quality of daily life. This article discusses in detail the factors that contribute to the development of preoperative concomitant septic shock in urolithiasis as well as nursing interventions, which are reported below. 所谓的泌尿结石就是在经过尿液的浓缩以及沉淀后所导致块状或者是颗粒状的聚集物产生，作为泌尿外科中较为常见的疾病类型，会发病于尿道输尿管、膀胱以及肾等任意部位，但是临床中主要以输尿管结石以及肾结石较为常见。结石出现在不同的部位所表现出的症状有着较大差异，其中主要以尿痛、尿频、尿液的颜色浑浊以及腰痛等为临床表现，严重时尿液中可能含有砂石或者是血。在随现阶段人们日常生活节奏的加快以及饮食习惯出现变化，导致此类疾病的发病率呈现出逐年上升的趋势，并且较常见于南方以及青壮年的男性群体中，患者的年龄大多处于20-40岁。此病有着较高的复发率，且可能导致尿路梗阻，产生损伤等情况，与此同时感染发生后常常伴随结石，除此之外，此病的相关并发症在临床治疗中较难，因此对于泌尿系结石要有足够的认识以及重视程度。患者的肾盂在受到结石影响下，使其压力增加，回流的细菌会入侵血液致使感染性休克发生，对肾功能产生严重损害。依据相关的调查研究显示，泌尿系结石现目前并不能进行根治，对此护理人员在临床治疗中加强护理干预，患者要积极配合护理工作的开展来卧床休养，从而降低相关并发症的发生概率，有效提高日常生活质量.本文通过对泌尿系结石术前伴随感染性休克的发生因素以及护理干预措施做以详细讨论，现将内容如下报告。

Key words: Urinary stones; Septic shock; Factor analysis; Nursing interventions 泌尿系结石；感染性休克；因素分析；护理干预