Minimally invasive percutaneous renal lithotripsy for upper urinary calculi Nursing.doc

 PAGE \* MERGEFORMAT 9 Minimally invasive percutaneous renal lithotripsy for upper urinary calculi Nursing [Keywords:] minimally invasive percutaneous nephrolithotomy care of upper urinary tract calculi Minimally invasive percutaneous renal lithotripsy (MPCNL has become the main treatment method for urinary tract stones [1], the surgery with less trauma, less bleeding, stone success rate, rapid postoperative recovery and shorter hospital stay and so on. June 2005 ~ December 2007 under the guidance of our hospital MPCNL ultrasonic treatment of 293 cases of urinary tract stones by clinical nurses with active and observation, good preoperative and postoperative care, achieved good treatment effect, Nursing now reported as follows. Clinical data The group of 293 patients, male 169 cases, 124 cases of women aged 16 to 65 years, mean 42 years, 201 cases of unilateral kidney, bilateral renal calculi in 48 cases, 44 cases of upper ureteral stones, 194 cases of hydronephrosis, 91 cases no water, 12 cases of renal abscess. ESML treated 41 patients with past, there were 8 cases of open surgery. after indwelling ureteral stents, nephrostomy, catheter. The average hospital stay of patients 7 days. Nursing 1. Preoperative care (1) psychological counseling Our hospital because MPCNL is a new technology, patients and their families worry about the safety and efficacy of surgery, some patients worry about the problem of expensive surgical fees, so be patient before surgery to explain the superiority of MPCNL, emphasized that the surgical trauma, quick recovery, short hospital stay and high success rate and stone, and let the other lines coming out of the surgery were missionaries, and enhance their confidence, eliminate negative mental patients, making it the best state of mind to accept and cooperate with surgery, after the mission, the patient successfully underwent surgery. (2) surgical training position Patients were to be taken during surgery