56例肾穿刺患者的护理与观察  

Nursing Care of 56 Patients Undergoing B-type Ultrasound-guided Percutaneous Renal Biopsy

作　　者：任启芳[1] 胡红艳[1] 徐亚梅[1] 郭贝清[1] 张艳丽[1] 张玮[1] 

机构地区：[1]安徽省蚌埠医学院第一附属医院肾内科,233004

出　　处：《中华全科医学》2011年第7期1151-1152,共2页Chinese Journal of General Practice

摘　　要：目的探讨患者肾穿刺的安全性及护理体会。方法对56例肾脏病患者进行肾活检术,通过观察56例患者肾穿刺的成功率及并发症,总结患者肾穿刺的护理体会。肾活检术是项创伤性检查,术后易并发出血、感染、血尿、腰痛、尿潴留等并发症。结果 56例穿刺全部成功,穿刺成功率为100%;术后并发镜下血尿7例(12.50%),肉眼血尿1例(3.57%),穿刺部位疼痛6例(10.70%)。未发现术后感染、持续大量肉眼血尿、肾包膜下血肿、肾破裂等并发症。结论患者进行肾穿刺是一项安全有效的检查,做好术前的心理护理,术后痛过加强患者并发症的观察与护理,积极采取相关的护理措施,从而有效地减少并发症的发生。Objective To investigate the safety and nursing of patients with renal biopsy.Methods The success rate and complications of renal biopsy were observed in 56 patients in hospital from 2009.10-2010.6,nursing care of renal biopsy were summarized.Results Puncture was successful in all 56 cases,puncture success rate was 100%;postoperative complication of microscopic hematuria occurred in 7 patients（12.50%）,gross hematuria in 1 case（3.57%）,puncture site pain in 6 patients（10.70%）.Postoperative infection,continued gross hematuria,subcapsular hematoma,and renal rupture was not found.Conclusion The renal biopsy was a safe and effective inspection.With good preoperative psychological care and postoperative care,the success rate of puncture can be improved;which was important to reduce complications.

关 键 词：肾穿刺 患者 并发症 护理 

分 类 号：R473.5[医药卫生—护理学] R446.83[医药卫生—临床医学]