about b-guided percutaneous nephrolithotomy holmium laser lithotripsy in perioperative nursing（关于b-guided经皮肾镜取石术钬激光碎石术围手术期护理）.docVIP

About B-guided percutaneous nephrolithotomy holmium laser lithotripsy in perioperative nursing [Abstract] Objective B ultrasound-guided percutaneous nephrolithotomy holmium laser lithotripsy of perioperative nursing experience. Methods From July 2008 to 2010 December 64 cases of implementation of the B-guided percutaneous nephrolithotomy holmium laser lithotripsy in patients with the development of standardized perioperative care and perioperative care program results through the standardization of perioperative care, effective care to reduce and prevent improper due to the occurrence of complications, and promote rapid recovery of patients. Conclusion well standardized perioperative care is to improve the success rate of surgery, after surgery to ensure that the effect of important ways. [Keywords] B ultrasound-guided percutaneous nephrolithotomy (PCNL stones perioperative nursing Our hospital from July 2008 to December 2010 using B ultrasound-guided percutaneous nephrolithotomy holmium laser lithotripsy lithotripsy treatment of kidney stones, upper ureteral stones in 64 patients, perioperative nurses through active cooperation and careful clinical observation, postoperative results were satisfactory. now its perioperative nursing are summarized below. 1 Materials and Methods 1.1 Clinical data The patients of 64 patients, male 54 cases, 10 females, aged 14-78 years, mean 46 years, two kidney stones in 12 cases, unilateral kidney stones in 52 cases. Are multiple, staghorn and greater than 2.5cm of kidney stones and ureteral stones .18 bacterial urine culture positive patients, hypertension in 20 cases, diabetes in 5 cases. 1.2 surgical patients underwent general anesthesia combined with epidural anesthesia. To assist the first lithotomy position, insert a ureteral catheter to the operative side, then the patient into the prone position, elevate the ipsilateral kidney area, take the 11 axillary line intercostal, under 12 intercostal punctu