On percutaneous nephrolithotomy holmium laser treatment of kidney stones nursing.docVIP

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2017-05-08 发布于浙江
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On percutaneous nephrolithotomy holmium laser treatment of kidney stones nursing.doc

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On percutaneous nephrolithotomy holmium laser treatment of kidney stones nursing

On percutaneous nephrolithotomy holmium laser treatment of kidney stones nursing [Abstract] Objective To percutaneous nephrolithotomy holmium laser treatment of kidney stones nursing summary to raise awareness of the new minimally invasive treatment of kidney stones to carry out the level of care. Methods Retrospective analysis of 40 cases of percutaneous nephrolithotomy holmium laser treatment of kidney stones surgical nursing experience. Results 40 patients were successfully recovered. Conclusions Percutaneous endoscopic stone extraction with holmium laser lithotripsy is a safe and effective treatment method of kidney stones with less trauma and faster recovery and so on. [Keywords: percutaneous nephrolithotomy holmium laser stone care Percutaneous nephrolithotomy holmium laser puncture through the skin to take the kidney stone is to establish a working channel, with a holmium laser treatment for kidney stones, urinary minimally invasive surgical methods, because of trauma, the patient recovered quickly, the advantages of surgery can be repeated by the patient welcome. since April 2009 ~ October 2010, our department for patients with kidney stones for the 40 cases of percutaneous endoscopic holmium laser lithotripsy kidney stone surgery. now its nursing as follows. 1 Clinical data General information 40 patients with kidney stones, 35 males and 5 females; aged 35 to 60 years, mean 37.5 years; Anesthesia: Tracheal intubation, ureteroscopic retrograde into the ureter to the operative side of the 5 to 7, the urine output catheters, indwelling Foley catheter, changing the prone position, sponge padded belly, take the affected side to the subscapularis Jiaoxian axillary line between intercostal 11 or 12 ribs puncture point, the ureteral catheter 0.9% NS50ml, B ultrasound-guided puncture of the renal pelvis into the right position, into the safety guide wire, under the guidance of the guide wire followed by 8! 10! 12! 14! 16! 18 fascial dilator