MPCNL治疗孤立肾结石合并感染患者围术期护理  

Perioperative Nursing of Patients with Solitary Kidney Calculus Amalgamative Infection Who Treated by MPCNL

作　　者：陈金兰[1] 曾丽娟[1] 徐桂彬[1] 杨炜青[1] 

机构地区：[1]广州医学院港湾医院泌尿外科,广州510700

出　　处：《中外医疗》2011年第13期154-156,共3页China & Foreign Medical Treatment

摘　　要：目的探讨微创经皮肾镜取石术(MPCNL)治疗孤立肾结石合并感染患者的护理要点。方法对我院2007年5月至2010年6月应用MPCNL术治疗75例孤立肾结石合并感染患者的护理进行回顾分析。结果 75例孤立肾结石合并感染患者经积极治疗和护理均痊愈出院。术后并发全身炎症反应综合症5例,其中感染性休克1例,急性左心功能不全1例,肾绞痛2例,急性肾功能衰竭1例,有3例患者反复出血经行高选择性肾动脉栓塞治疗后痊愈。术后随访1～36个月,28例肾功能不全患者中除1例栓塞止血后肾功能受损加重需行长期血液透析外,余患者肾功能均有不同程度的恢复,未见肾萎缩。结论有效的配合和护理是提高治愈率,减少术后并发症发生的重要保证。Objective To evaluate the nursing of patients with solitary kidney calculus amalgamative infection and treated by minimally invasive percutaneous nephrolithotomy（MPCNL）.Methods A retrospective review was performed of 75 patients with solitary kidney calculus amalgamative infection,who were treated by MPCNL in our hospital,between May 2007 and June 2010.Results All of 75 patients were discharged from the hospital after recovery.Postoperative complications included systemic inflammatorm response syndrome on 5 patients,one of whom was diagnosed septic shock.Acute left cardiac dysfunction on 1 patient,Renal colic on 1 patient,Acute renal failure on 1 patient,hemorrhage on 3 patients who were successfully treated by high selective thrombosis of renal artery.During 1-36 months follow-up,28 cases of renal insufficiency patients were improved to some degree,no renal atrophy,except one aggravated to long-term hemodialysis after embolization.Conclusions The efficient and appropriate nursing was extremely important for improving recovery rate and diminishing postoperative complications.

关 键 词：微创经皮肾取石术 孤立肾结石 感染 围手术期护理 

分 类 号：R473[医药卫生—护理学]