经皮肾微造瘘输尿管镜气压弹道碎石术后出血的原因分析及对策

目的：探讨经皮肾微造瘘输尿管镜气压弹道碎石术（mPCNL）术后出血的原因分析及护理对策。方法：对2006年6月～2010年6月在C-臂机引导下，经皮肾微造瘘，以输尿管镜，气压弹道击碎上尿路结石的106例患者的临床资料进行回顾性分析。共发生术后出血8例，其中男5例，女3例。对其出血原因进行分析及护理。结果：经及时发现和积极治疗，8例患者顺利康复。结论：出血原因大部分为穿刺通道的小动脉损伤，护理人员术后严密观察病情和生命体征，及时发现、积极救治是治疗mPCNL术后出血的关键。

Cause analysis and countermeasure of post-operative hemorrhage alter percutanous micro nephrostomy with ureteroscopic pneumatic lithotripsy

Objective： To investigate the cause and nursing of post-operative hemorrhage after percutaneous micro nephrostomy with ureteroscopic pneomatic lithotrapsy （mPCNL）. Methods： From June 2006 to June 2010, 106 patients underwent mPCNL guided by C-arm fluroscopy, post-operative hemorrhage oecured in 8 patients （5 males, 3 females）. To analyse the cause and nursing care of these cases. Results： After early diagnosis and intensive therapy, all 8 patients recovered quickly. Conclusion： The most frequent cause of post-operative hemorrhage was damage of small arteries of the operative channel. For early diagnosis and therapy of post-operative hemorrhage, nurses should observe the condition and vital signs of the patients carefully after mPCNL.