Position of different surgical percutaneous nephrolithotomy holmium laser lithotripsy in patients with respiratory and circulatory function.doc

 PAGE \* MERGEFORMAT 7 Position of different surgical percutaneous nephrolithotomy holmium laser lithotripsy in patients with respiratory and circulatory function Of: Chen Peng Su Xiuxia Ding Hongbin Liu Wendong [Keywords:] percutaneous nephrostomy, holmium laser lithotripsy, body position, respiratory function, circulatory function Percutaneous nephrostomy holmium laser lithotripsy is the conventional prone position with the position [1], but there are also lateral position of clinical, recumbency position, supine position and other position. This paper aims to observe the surgery in the flat supine, lateral position, prone position on the patient respiratory and circulatory function. our hospital in April 2004 ~ June 2008 carried out by the 3 position of 210 cases of the operation, are as follows. 1 Materials and Methods 1.1 General information on this group 210 cases, 152 cases of male and female 58 cases, both through the B-, KUB + IVU or retrograde urography, CT examination of patients diagnosed of kidney stones. Patients were randomly divided into 3 groups: group (supine group), group (lateral position group), group (prone position group) .3 70 patients aged patients (35.9 + -5.8) years, (36.5 + -6.2 years) , (36.2 + -6.3 years). All the patients had no significant preoperative cardiopulmonary and other organic diseases, 3 patients age, sex, weight, etc. There was no significant difference. 1.2 anesthesia injected 30 min before surgery diazepam 10 mg, atropine 0.5 mg, after the establishment of intravenous fluids Road burglary, liquid way to Ringer’s solution, maintained polygeline, respectively, by the T12 ~ L1 (head to the tube ), L3 ~ 4 (the end of the tube) epidural puncture, supine on the next possession when the first injection of 2% lidocaine 12 ml, of anesthesia appears lithotomy position placed under the ipsilateral ureter catheter changes in position ( flat, side, prone) and then in the possession of 2% lidocaine injection o