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| Influence of Platelet Counts on Clinical Efficacy of Septicopyemia Caused by Urinary Tract Calculi Obstruction |
| WANG Shuling, YIN Jiaqing, WANG Quanli, WANG Juan, ZHANG Xiaohui |
| The People′s Hospital of Zunhua, Zunhua, Hebei 064200, China |
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Abstract Objective To study the effect of mean platelet counts on clinical efficacy of septicopyemia caused by urinary tract calculi obstruction. Methods A total of 56 patients with epticopyemia caused by urinary tract calculi obstruction between January 2012 and January 2015 were selected and divided into study group (PLT＜50×109/L, n=34) and control group (PLT≥50×109/L, n=22). All the patients received retrograde insertion of a double J tube for drainage or transcutaneous nephrocentesis. PLT, WBC, MAP, Lac, PaO2, APACHEⅡ, and SOFA in the two groups were observed before and after treatment. Results After treatment, PLT, WBC, MAP, Lac, PaO2, APACHEⅡ, and SOFA in both groups were all improved (P<0.05), but there was no significant difference between the two groups(P＞0.05). Conclusion Abnormal PLT is not an absolute contraindication for surgery of septicopyemia caused by urinary tract calculi obstruction. Adequate preoperative assessment and positive support of circulation dynamics may improve the clinical efficacy.
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Published: 02 November 2016
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2016, Vol. 34 
