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华西医学  2014 

经皮肾镜碎石术的围手术期护理新模式探索

DOI: 10.7507/1002-0179.20140526, PP. 1726-1729

Keywords: 经皮肾镜碎石术,围手术期护理,新模式

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Abstract:

目的 探讨经皮肾镜碎石术(PCNL)的围手术期护理模式。方法 对2012年1月-2013年12月866例行经皮肾镜碎石术患者,术前予以健康宣教、心理护理及体位训练,术后实施医护一体化伤口护理及管道管理,积极处置感染性休克、肋间神经痛、漏尿和皮下气肿,同时给予饮食及健康指导。结果 866例患者顺利完成手术,术后感染发生率2.4%,感染性休克发生率0.2%,出血2.2%,漏尿1.5%,气胸0.6%,皮下气肿0.3%,肋间神经痛0.6%。全体患者经对症治疗及精心护理均康复出院,平均住院时间为(11.2±2.8)d。结论 创新的护理模式与护理技巧对PCNL手术的成功具有重要意义。

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