摘要
目的 探讨经皮肾镜取石术手术配合方法;方法总结我院2010年1月-2010年6月泌尿外科收治的泌尿系结石患者63例,实施经皮肾镜取石术的护理配合,从而为临床操作提供一定指导;结果 63例泌尿系结石患者中,术中未见大出血和严重心肺方面并发症发生,均顺利完成手术,无中转开腹者,手术时间0.5～6.5h,平均2 h,出血量50～700ml,平均250 ml,其中3例患者行输血治疗,术后复查,治愈57例,一次性治愈率为90.5%,剩下8例于1周后经造瘘管再次取石后治愈,总共住院时间6～12d,平均7 d,均痊愈出院;结论经皮肾镜取石术中有效的护理配合对减少患者术中并发症,缩短手术时间,减少术中出血量和提高患者治愈率有一定帮助.
Objective To explore surgical collaboration in percutaneous nephrolithotomy. Methods The experience of surgical collaboration in percutaneous nephrolithotomy for 63 patients with urolithiasis who had undergone the procedure in our hospital from January 2010 to June 2010 was summarized to provide some guidance clinically. Results The procedure was successfully completed in all the patients and no one required open surgery. No massive bleeding and serious cardiovascular event were found intraoperatively. Surgical duration was 0.5 to 6.5 hours, with an average of 2h; blood loss was 50 to 700 ml,with an average of 250ml. 3 patients needed blood transfusions. 57 patients were cured after the procedure,with an one-time cure rate of 90.5%; the remaining 8 were cured one week after secondary nephrolithotomy.The length of hospital stay was 6 to 12 days, with an average of 7 days. Conclusions Surgical collaboration in percutaneous nephrolithotomy is helpful in reducing complications, shortening surgical duration, decre
出处
《国际医药卫生导报》
2010年第21期2678-2680,共3页
International Medicine and Health Guidance News
关键词
经皮肾镜取石
手术配合
巡回护士
器械护士
Percutaneous nephrolithotomy
Surgcial collaboration
Running nurses
Instrument nurses
