微创经皮肾镜碎石取石术中常见问题护理措施

Common problems existed and calculus remove and its nursing strategies

[目的]探讨微创经皮肾镜取石术术中常见护理问题及处理措施。[方法]回顾性分析2005年1月—2006年8月间我院完成的经皮肾镜碎石取石术治疗肾结石和输尿管上段结石200例,分析围术期出现的并发症的原因,探讨护理处理措施。[结果]200例中并发出血5例,胸腔积液2例,腹腔积液1例,术后感染5例,水中毒和低钠血症2例,低体温和寒战分别为3例和10例,有39例病人在术中因体位不适出现躁动,经对症对因处理,全部治愈。[结论]微创经皮肾镜虽为微创手术,但仍存在着发生并发症的风险,加强术中护理有利于并发症的防治。

Objective： To evaluate the occurrence and management of problem during in micro- wound percutaneous nephroscope lithodialysis （MPCNL）. Methods： The data of 200 cases of MPCNL from January 2005 to August 2006 were reviewed, including 127 male and 73 female cases. All causes and managements of perioperative complications were analyzed. Results： Among 200 cases of MPCNL, 5 had massive hemohage;2 cases had pleural effusion, 1 case had hydroperitoneum, lcase had pyocalix,3 casas hacl hypothermia, 10 cases had shiverlng;39 cases had restlessness because of position. All had been cured by using effective managements. Conclusion： MPCNL is minimally invasive operation. Enhancing the nursing during the operation is beneficial to prevent and to cure the complication of this procedure.