微创经皮肾镜取石术后并发严重出血护理措施分析

目的探讨微创经皮肾镜取石术后并发严重出血护理措施。方法选取2008年1月-2012年8月收治的微创经皮肾镜取石术后并发严重出血患者共38例,分析其微创经皮肾镜取石术并发严重出血的护理措施。结果微创经皮肾镜取石术后严密地观察患者的出血情况,及时给予介入治疗,全部患者均停止出血且顺利康复。结论微创经皮肾镜取石术后出血为最严重并发症,超选择性肾动脉造影与栓塞术为微创经皮肾镜取石术并发严重出血诊断与治疗的安全、有效手段,应该有针对性、目的性地进行微创经皮肾镜取石术后观察与护理措施,从而减少术后并发症发生。

Objective To learn the nursing method for severe bleeding after minimally invasive percutaneous nephrolithotomy. Methods There were 38 patients of severe bleeding after minimally invasive percutaneous nephrolithotomy from Janary 2008 to August 2012. Analyze the nursing method for severe bleeding after minimally invasive percutaneous nephrolithotomy. Results Closely observe the bleeding state of patients of severe bleeding after minimally invasive percutaneous nephrolithotomy and use interventional therapy duly. All patients stop bleeding and recover smoothly. Conclusion Severe bleeding after minimally invasive percutaneous nephrolithotomy is most serve complication. Super selective renal arteriography and embolization are safe and effective method to diagnose and treat severe bleeding after minimally invasive percutaneous nephrolithotomy. The nurses should have the targeted and purpose observation and nursing method after minimally invasive percutaneous nephrolithotomy, which could reduce the incidence of complication after operation.