摘要
目的探讨微创经皮肾镜碎石术(percutaneous nephrolithotomy,PCNL)严重肾出血护理对策。方法回顾性分析南昌大学第一附属医院2003年1月至2010年9月期间接受PCNL术严重肾出血接受肾动脉造影患者27例的临床资料,总结严重肾出血的护理对策和体会。结果 27例出血患者均在局部麻醉下行选择性肾动脉造影及栓塞治疗,24例出血患者行选择性肾动脉栓塞止血,3例出血停止患者行两次选择性肾动脉栓塞止血,1例患者因孤立肾行DSA引起短暂性肾功能不全,连续行血液透析7 d后,肾功能恢复。结论 PCNL术后并发大出血是严重的并发症之一,如处理不当或不及时,将导致肾切除,严重时会导致患者生命危险。PCNL术严重肾出血正确的治疗方法和护理对策能够降低患者死亡风险,有利于PCNL术的展开。
Objective To investigate the nursing strategies for severe renal hemorrhage in minimally invasive percutaneous nephrolithotomy （PCNL）. Methods Clinical data of 27 patients with severe renal hemorrhage after PCNL who underwent renal digital subtraction angiography （DSA） in the First Affiliated Hospital of Nanchang University between January 2003 and September 2010 were analyzed retrospectively. The strategies and experiences of nursing for severe renal hemorrhage were summarized. Results Among the 27 patients, selective renal DSA was performed under local anesthesia in 24, and selective renal artery embolization was performed twice under local anesthesia in 3. In addition, transient renal insufficiency occurred in 1 patient due to DSA. However, this patient had renal function recovery after 7 days of continuous hemodialysis. Conclusion Severe renal hemorrhage is a complication of PCNL. Improper or untimely treatment may result in nephrectomy and even life-threatening event. the correct treatment methods and nursing strategies can reduce the risk of death and contribute to the performance of PCNL in patients with severe renal hemorrhage.
出处
《实用临床医学（江西）》
CAS
2014年第4期108-109,116,共3页
Practical Clinical Medicine
关键词
经皮肾镜碎石术
肾出血
肾动脉造影
护理
percutaneous nephrolithotomy
renal hemorrhage
renal arteriography
nursing care
