门诊肾穿刺活组织检查护理安全管理

目的探讨门诊肾活检护理安全管理的对策及措施。方法对352例门诊患者在彩色多谱勒超声监测、引导下，采用负压吸引“斜角进针一秒钟穿刺法”，手术前、后采取严格细致的护理，观察穿刺效果及并发症情况。结果352例人组观察的患者肾活检成功率为100％，术后肉眼血尿2例占0．6％，腰酸腰痛1例占0．3％，肾周血肿发生率为35％，其中绝大部分为≤2cm的微小血肿，未发生任何严重并发症。结论严格掌握适应证，严密术前检查、术中、术后的观察及护理，认真执行护理安全管理对策，是门诊常规肾活检安全开展的保证。

Nursing and safty management on outpatients with renopuncture biopsy

Objective To explore a useful nursing method to enhance the feasibility and safety for outpatients with renopuncture biopsy. Methods 352 cases of renopuncture biopsy with the guiding of ultrasound (GE-Logiq5) received intensive nursing before and after operation. The effects of renopuncture and the complication were observed and compared. Results The successful rate of renal biopsy was 100%. However, there were 2 cases appeared the symptom of hematuria, 1 case appeared the symptom of lumbago, and 35% appeared the symptom of hematoma. Most of hematoma were minor less than 2cm so there were no serious syndromes happened. Conclusions Intensive observation and nursing are very important for the safety of outpatients with renopuncture biopsy.