多通道微创经皮肾镜碎石术治疗复杂性肾结石术后并发症的观察与护理

Observation and nursing of complcation after treatment of complex renal calculi by muhi chennel minimally invasive percutaneous nephrolithotomy

目的探讨多通道微创经皮肾镜碎石术治疗复杂性肾结石术后并发症的观察与护理。方法回顾性总结2007年1月至2010年1月本院行多通道微创经皮肾镜碎石术治疗复杂性肾结石患者48例病历资料，分析术后出现并发症的原因，探讨护理处理对策。结果48例患者术后出现出血3例，胸腔积液1例，腹腔积液1例，双下肢水肿1例，术后感染伴发热6例，尿漏尿外渗2例，所有患者均积极治疗和完善的护理，痊愈出院。结论多通道微创经皮肾镜碎石术治疗复杂性肾结石术后严密观察并发症并及时予以相应的治疗，是保证此项手术成功的关键。

Objectives To explore the multiple channel of minimally invasive percutaneous nephrolithotomy for treatment of complex renal calculi postoperative observation and nursing of complications. Methods A ret- respective review of 2007 January to 2010 January in this hospital muhi channel of minimally invasive percutaneous nephrolithotomy for treatment of complex renal calculi in 48 cases of patients with clinical data, analysis of the causes of postoperative complications and nursing countermeasures. Results 48 cases of patients, with postoperative bleeding occurred in 3 cases, 1 cases of pleural effusion, 1 cases of ascites, edema of lower extremities in 1 cases, 6 cases of postoperative infection with fever, urine leakage of urine extravasation in 2 cases, all patients were treated actively and perfect nursing, cured and discharged. Conclusions Multi channel of minimally invasive percutaneous nephrolithotomy for treatment of complex renal calculi after close observation of complications and prompt appro- priate treatment, is to ensure that the key to successful operation.