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小儿B超引导下经皮肾盂穿刺造瘘术的围手术期护理
引用本文:陈月清,林炎坤,周冬秀,劳伟华,罗泳洁,余攀,李彩霞. 小儿B超引导下经皮肾盂穿刺造瘘术的围手术期护理[J]. 国际医药卫生导报, 2017, 23(8). DOI: 10.3760/cma.j.issn.1007-1245.2017.08.060
作者姓名:陈月清  林炎坤  周冬秀  劳伟华  罗泳洁  余攀  李彩霞
作者单位:广东省妇幼保健院外科, 广州,511442
摘    要:目的 探讨小儿B超引导下经皮肾盂穿刺造瘘术的围手术期护理.方法 对本院2015年49例经皮肾盂穿刺造瘘术患儿的围手术期护理进行回顾分析,包括术前护理、术中配合、术后护理及健康指导.结果 49例中,44例术后效果好,无并发症发生;4例术后有泌尿系感染;脱管1例;并发症发生率10%.结论 小儿B超引导下经皮肾盂穿刺造瘘术对重度肾积水患儿术后肾功能恢复起到积极作用,积极有效的护理是提高手术成功率、减少术后并发症的重要保证.

关 键 词:小儿  B超  肾盂穿刺造瘘  围术期护理

Perioperative nursing for pediatric percutaneous nephrostomy guided by B ultrasound
Chen Yueqing,Lin Yankun,Zhou Dongxiu,Lao Weihua,Luo Yongjie,Yu Pan,Li Caixia. Perioperative nursing for pediatric percutaneous nephrostomy guided by B ultrasound[J]. International Medicine & Health Guidance News, 2017, 23(8). DOI: 10.3760/cma.j.issn.1007-1245.2017.08.060
Authors:Chen Yueqing  Lin Yankun  Zhou Dongxiu  Lao Weihua  Luo Yongjie  Yu Pan  Li Caixia
Abstract:Objective To discuss the perioperative nursing for pediatric percutaneous nephrostomy guided by B ultrasound.Method Retrospectively analyzed the perioperative nursing of 49 children undergoing percutaneous nephrostomy in 2015,including preoperative nursing,intraoperative cooperation,postoperative nursing,and health education.Results Among the 49 patients,postoperative effect of 44 patients were good,without complications;4 patients had postoperative urinary infection;1 patient had unplanned extubation of drainage tube;the incidence of complications was 10%.Conclusions Pediatric percutaneous nephrostomy guided by B ultrasound is effective for postoperative recovery in pediatric patients with severe hydronephrosis.Positive and effective nursing is important in improving operation success rate and decreasing postoperative complications.
Keywords:Pediatrics  B Ultrasound  Nephrostomy  Perioperative nursing
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