Treatment of infective shock after vasectomy
Introduction
Despite the fact that urethroscope surgery is an important tool in the treatment of diseases of the urology system, the serious complication of post-operative infectious shock may endanger the life of the patient. Knowledge of their treatment is essential to improve patient prognosis. Early identification and assessment of infectious shock
• The vital signs of the patient, including body temperature, blood pressure, heart rate, breathing, etc., will need to be closely monitored after the urine tubing. In the early years of infectious shock, patients may experience heat or hypothermia, an accelerated heart rate, and a sharper breath. At the same time, care should be taken to observe the mental state of the patient, such as irritation, sleep addiction, confusion, etc., which may be signs of a lack of early brain infusion in shock.
• Laboratory examinations, with a focus on inflammation indicators such as the white cell count in blood protocol, the ratio of neutral particles, C-reactive protein (CRP), calcium reduction (PCT). Blood and urine cultures are important for identifying pathogens in order to target antibacterial drugs. In addition, the patient ‘ s kidney function, electrolyte needs to be assessed, as shock can cause acute kidney damage and electrolyte disorders.
III. Liquid recovery
Liquid resuscitation is a key component of infectious shock treatment. An effective intravenous route should be established promptly, with the option of a central vein or multiple exterior veins. Common resuscitation liquids include crystall fluids (e.g., physico-saline water, balanced salt solution) and gel fluids (e.g., hydroethyl starch, protein).
Early Targeted Treatment (EGDT) is an important strategy for liquid recovery. In the recovery process, indicators such as CVP, average arterial pressure (MAP) and urine need to be monitored. The CVP is generally maintained at 8 – 12 mmHg, MAP is maintained at 65 – 90 mmHg, with a urination of 0.5 ml/(kg.h). Liquid recovery avoids complications such as pulmonary oedema due to over-remediation, which can be adjusted to the patient ‘ s specific circumstances.
Application of angiogenesis
• The use of vascularly active drugs is required when liquid recovery is not effective in improving patients’ low blood pressure. The commonly used vascularly active drugs include detoxin, dopamine, etc.
Adrenalin is a first-line vascular active drug of infectious shock, which increases blood pressure mainly by constricting the blood vessels and can effectively improve the injection of vital organs. Care should be taken to adjust the dose to blood pressure conditions and to closely monitor changes in heart rate, heart rate, etc. to avoid adverse reactions such as cardiac disorders. Dopamine can perform different functions depending on the dose, with small doses having extended renal vascular, etc., but use at large doses may increase the risk of cardiac disorders and needs to be carefully assessed when used. V. Antibacterial treatment
• The choice of antibacterial drugs based on the clinical performance of the patient, the outcome of the culture and the possible pathogen. Empirical choice of broad-species antibacterials, covering gerang and gerang positives, especially those common in the urinary system, such as coliform.
• Once training results are clear, they should be adapted in a timely manner to sensitive antibacterial drugs to ensure the effectiveness of antibacterial treatment. Antibacterial drugs are used in sufficient quantities and with a maximum of 7 to 14 days, depending on the patient ‘ s condition and the type of pathogen. At the same time, attention should be paid to adverse effects of antibacterial drugs, such as damage to liver and kidney function, allergies, etc.
VI. Organ function support
• Respiratory function support: For patients with respiratory impairments, treatment may be required to provide support such as aerobics, non-absorption or mechanical ventilation to maintain a normal saturation of haematological oxygen in a normal range and improve oxygen cortex.
• Renal function support: In the case of acute kidney damage, conservative treatment (e.g., liquid balance, kidney toxicity avoidance, etc.) or kidney substitution treatment (e.g., continuous kidney substitution treatment, CRRT) may be used to help patients survive kidney failure.
• Other: attention should be paid to the coagulation function, liver function, etc. of the patient, and to the timely detection and treatment of possible multi-organ functional impairment syndrome (MODS).
Nutritional support
• Infectious shock patients are in a state of high metabolic, and nutritional support is essential to improve their resilience and rehabilitation. Intestine or intestinal nutrition may be selected depending on the patient ‘ s gastrointestinal function.
• Early intestinal nutrition helps maintain the integrity of intestinal mucous membranes and reduces bacterial transfer. In case of poor gastrointestinal function, extra-intestinal nutrition can be introduced, with a gradual transition to intestinal nutrition after recovery. Nutritional support is supported by the monitoring of indicators such as blood sugar and blood resin for patients and the avoidance of metabolic disorders.
VIII. Concluding remarks
Infective shock after vasectomy is a serious complication that requires multidisciplinary team work to improve the patient ‘ s cure rate, reduce mortality and improve the quality of life of the patient through a combination of early identification, active liquid recovery, rational application of vascular active drugs, antibacterial treatment, organ function support and nutritional support. At the same time, before and after the vasectomy, the principle of sterile operation and the regulation of the end of the surgery are strictly followed in order to reduce the occurrence of infectious shock.
