微创经皮肾镜取石术后发热原因分析及护理干预措施
龙智蓉
【期刊名称】《中国社区医师》 【年(卷),期】2015(031)015
【摘要】目的:探讨微创经皮肾镜取石术后发热原因及护理干预措施.方法:收治上尿路结石患者50例,对其临床资料进行统计分析.结果:和术前无尿路感染、 肾积水、结石表面积≤6 cm2、术中出血量≤500 mL、手术时间≤2 h、灌注液量≤30 L的患者相比,术前有尿路感染、肾积水、结石表面积>6 cm2、术中出血量>500 mL、手术时间>2 h、灌注液量>30 L的患者术后发热发生率均明显较高(P<0.05).结论:临床应对微创经皮肾镜取石术后发热原因进行深入分析,给予这些原因以充分重视,然后给予患者有针对性的护理,从而将患者术后发热的发生率降到最低限度.%Objective:To investigate the causes and nursing intervention
of
fever
after
minimally
invasive
percutaneous
nephrolithotomy.Methods:50 patients with upper urinary tract calculus were selected,and the clinical data were statistical analysisd.Results:The postoperative fever incidence of preoperative patients with urinary tract infection,hydronephrosis,stone surface area>6 cm2,intraoperative blood loss>500 mL,operation time>2 h,perfusion fluid volume>30 L was significantly higher compared with preoperative patients with no urinary tract infection,hydronephrosis,stone surface area≤6 cm2, intraoperative blood loss≤500 mL,operation time≤2 h,perfusion fluid volume≤30 L(P<0.05).Conclusion:We should give in-depth analysis of