小儿经皮肾镜取石术中的体温护理

Temperature nursing of pediatric percutaneous nephrolithotomy

目的:总结小儿经皮肾镜取石术中体温管理的方法。方法:选择我院2012年1～9月年龄在1～3周岁的经皮肾镜取石术患儿38例,患儿入室后保持室温23～25℃,电热毯温度设置为36～40℃,灌注液温度保持在39℃,并做好术中的覆盖,术中持续监测患儿体温变化并记录。结果:38例患儿在手术中的平均体温为(36.18±0.17)℃,术中均未发生体温过低。结论:术中通过术前评估、调节环境温度,增强手术操作技能,控制输液及冲洗液温度,做好防水保温处理,减轻术中麻醉的影响可维持患儿手术期体温的稳定,预防低体温引起的并发症。

Objective ：To summarize the methods of percutaneous nephrolithotomy lithotomy of temperature management. Methods：Chose our hospital from January to September in 2011 at the age of 1 - 3 years of percutaneous nephrolithotumy in 38 children, children from 23 to 25 ℃ at room temperature, the temperature of the electrothermal blanket was set to 36 - 40 ℃ ,the perfusion fluid temperature is maintained at 39 ℃, and make the operation of coverage, continuous intraoperative monitoring patients temperature changes and record. Results： 38 patients were in operation in the average temperature was （36.18 ± 0.17 ） ℃, intraoperative hypothermia did not occur. Conclusion ： lntraoperative through preoperative evaluation, adjust environmental temperature, enhance operation skills, control the infusion and the temperature of irrigation fluid,waterproof thermal insulation, reduce the effect of anesthesia during oper- ation can be maintained in operation period temperature stability,prevention of complications caused by low temperature.