乳糜尿的治疗及护理  

The Treatment and Nursing of Chyluria

作　　者：吴均媛 王银芝[1] 丁永锋[1] 

机构地区：[1]江苏省中西医结合医院,江苏南京210028

出　　处：《中外医学研究》2014年第2期70-71,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨乳糜尿的治疗及护理。方法:回顾性分析2007年6月-2013年1月笔者所在科收治的31例乳糜尿手术患者,分成A、B两组。A组采用常规后腹腔镜下肾蒂淋巴管剥脱术,共16例。B组采用改良后腹腔镜下肾门旁淋巴管剥脱术,共15例。均给予针对性护理。对比两组患者手术时间、术中出血量、肾周引流管留置时间、肾周引流量、术后肠功能恢复时间、术后呼吸道感染、肉眼血尿发生情况等。结果:31例患者均痊愈。A组手术时间(108.7±11.7)min、术中出血量(69.3±9.6)ml、肾周引流管留置时间(4.0±0.8)d、肾周引流总量(153.2±18.7)ml、术后肠功能恢复时间(2.8±0.7)d、术后卧床1周,肉眼血尿11例、术后呼吸道感染7例。B组手术时间(78.9±11.2)min,术中出血量(67.7±9.8)ml、肾周引流管留置时间(2.2±0.6)d,肾周引流总量(149.5±17.3)ml、术后肠功能恢复时间(1.3±0.5)d,术后第2天即可下床。肉眼血尿1例、术后呼吸道感染3例。结论:两种手术方法结合针对性护理治疗乳糜尿,疗效满意。改良的后腹腔镜下肾门淋巴管剥脱术创伤更小,术后恢复快,术后并发症更少。Objective：Discuss the treatment and nursing of chyluria.Method：Retrospective analysis 32 chyluria operation patients from Jun 2007 to Jan 2013 of our department which were divide into A and B groups.In A group 16 patients were cure with common renal pedicle lymphatic stripped by restropertoneoscopy.In B group 15 patients were cure with improved lymphatic stripped by restropertoneoscopy.All the patients were given targeted cure and nursing. Contract operation time,intraoperative blood loss,drainage tube indwelling time,intestinal function recovery time,time in bed,volume of drainage,case of gross hematuria and postoperative respiratory tract infection.Result：All the patients were healed.In group A operation time（108.7±11.7）min,intraoperative blood loss （69.3±9.6）ml,drainage tube indwelling time（4.0±0.8）d,intestinal function recovery time（2.8±0.7）d,time in bed 7days.Case of gross hematuria 11, case of postoperative respiratory tract infection 7 ,In group B operation time（78.9±11.2）min,intraoperative blood loss（67.7±9.8）ml,drainage tube indwelling time（2.2±0.6）d,intestinal function recovery time（1.3±0.5）d,time in bed 2 day.Case of gross hematuria 1,case of postoperative respiratory tract infection 3.Operation time,intestinal function recovery time,drainage tube indwelling time,time in bed,case of gross hematuria and postoperative respiratory tract infection were all difference significantly in statistic（P〈0.05）.Conclusion：Combined with targeted nursing,each of the method has good effect.The improved lymphatic stripped by restropertoneoscopy method has small operation wound,rapid recover and fewer complications.

关 键 词：腹腔镜手术 乳糜尿 护理 

分 类 号：R473.6[医药卫生—护理学]