Indwelling double J tube patient on discharge.docVIP

 PAGE \* MERGEFORMAT 5 Indwelling double J tube patient on discharge [Keywords:] double-J tube, discharge guidance, the stone Double-J tube, also known as double-pigtail tube, because both ends of the coil and the shape of pigtail is named, the stent and the role of internal drainage of the ureter could relieve inflammation and edema lead to a temporary obstruction, to prevent postoperative wound leakage and ureteral stenosis [1 ]. our hospital from May 2004 to January 2008 on 426 cases of upper urinary tract stones were placed on surgical treatment and a double J tube. hospitalization of patients for discharge guidance, significantly improved the success rate of surgery to reduce the the stone recurrence. now understand the report is as follows. 1 Clinical data 426 cases of this group of patients, 310 patients were male, female 116 cases, the maximum age of 70 years, minimum age 6 years, mean age 45.3 years. Including 60 cases of kidney stones, ureteral stones in 366 cases. 2 Results Through a detailed 426 cases of patients discharged from the guide, after returning from 3 months to 4 years, no 1 patient extubation or hospital for review and future complications, 1 patient without recurrence during follow up. 3 discharge guidance 3.1 indwelling double J tube guidance J tube indwelling, due to continued drainage of urine, loss of ureteropelvic filling cone stimulation, resulting in significantly decreased or disappeared ureteral peristalsis, diminished the role of ureteral reflux, renal pelvis when the bladder pressure greater than the pressure are prone to cause ureteral reflux [1] . indwelling double J tube to keep the stool during the smooth, pay attention to the prevention of influenza, prevent the increase in bladder pressure caused by increased abdominal pressure causes urine reflux, such as constipation, cough should be promptly processed to maintain urination, to avoid holding back urine, most male patients Good upright urinat