40 cases of holmium laser lithotripsy for the care of patients.docVIP

 PAGE \* MERGEFORMAT 10 40 cases of holmium laser lithotripsy for the care of patients [Keywords:] Urinary calculi with holmium laser care Holmium laser lithotripsy with holmium laser is applied to the surface of water and stones, stones absorb the laser energy itself split, to crush all urinary calculi. With less trauma, less bleeding, pain and faster recovery, shorter hospital stay, stone clearance rate , less complications. our hospital in June 2008 to December using this method 40 patients with urinary stone treatment, all were discharged after intensive care, no serious complications. Nursing now reported as follows. Clinical data The group of 40 patients, 23 males and 17 females, aged from 25 to 75 years, mean 50.8 years, average length of stay 14.9 days, 16 cases of kidney stones, ureteral stones, 24 cases have different levels of water, of which 12 cases for the success of the first stone, and the remaining 28 patients in a stone after 5 ~ 7 days, 2 stone success, no complications occurred. patients are left nephrostomy or double J tube and catheter. Nursing First, preoperative care 1. Psychological Care This is a new surgical procedure, not yet universal, lack of knowledge of patients, worried about effect of surgery and postoperative recovery, prone to stress, anxiety and other negative emotions. Nurses, patients should be warmly received, patiently answered all the questions they raised, the use of blackboard newspaper, models and other forms of mission to eliminate their fear, establish confidence in the success of the operation. Meanwhile more communication with their families, for their moral and economic support, to dispel the concerns of patients. 2. Preoperative preparation Line KUB, B Super, IVP or CT diagnosis, blood biochemistry to do various checks, check out the clotting time, ECG, chest X-ray, etc. to assess the patients tolerated surgery and anesthesia, good skin preparation, with blood, skin test, routine c