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01000naa a22002652 4500 |
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NLM124043534 |
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DE-627 |
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|a jpn
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| 100 |
1 |
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|a Amano, Toshiyasu
|e verfasserin
|4 aut
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| 245 |
1 |
0 |
|a Analysis of patients with septic shock due to urosepsis brought on by ureteral calculi
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| 264 |
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1 |
|c 2003
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|a Text
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|a Date Completed 08.04.2003
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|a Date Revised 15.11.2006
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|a published: Print
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|a Citation Status MEDLINE
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|a While a ureteral stone is a common disease, it occasionally causes urosepsis and septic shock. We analyzed 6 cases of septic shock due to urosepsis caused by a ureteral stone from August 1998 to September 2001. All patients were female, ranging in age from 38-76 years old (63.8 +/- 15.3). Stones ranged from 4 to 12 ml in size. The results of analysis of bacterial culture from blood and urine revealed E. coli in 4 cases, K. pneumoniae in 1 case and P. mirabilis in 1 case. Treatment, including intravenous transfusion, the administration of vasopressor drugs and antibiotics, and anti-disseminated intravascular coagulation (DIC) treatments were performed. Percutaneous nephrostomy in 4 cases and ureteral stent indwelling in 1 case were also used for the management of urinary tract. Extracorporeal shock wave lithotripsy (ESWL) was performed in 4 patients after improvement of general condition. Furthermore, the 3 most recent patients had also received therapy to remove endotoxins. All patients were diagnosed in a stone-free condition after a combination of these therapies. The mean recovery interval from shock condition to shock-free status seemed to be shorter in the patients that received the endotoxin removal therapy
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|a English Abstract
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|a Journal Article
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1 |
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|a Matsui, Futoshi
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Takashima, Hiroshi
|e verfasserin
|4 aut
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| 700 |
1 |
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|a Takemae, Katsuro
|e verfasserin
|4 aut
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| 773 |
0 |
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|i Enthalten in
|t Hinyokika kiyo. Acta urologica Japonica
|d 1962
|g 49(2003), 1 vom: 21. Jan., Seite 1-4
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