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1、南方医科大学成人高等教育毕业论文题目:斜卧截石位在微创经皮肾镜碎石术中的应用研究作者姓名:徐燕娇专业:护理学年级:2010级专升本学号:377100160locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,
2、whennightcame摘要目的探讨三种不同体位对微创经皮肾镜碎石取石术(PCNL)患者的影响。方法将180例微创经皮肾镜碎石手术患者,按手术体位分为俯卧位、侧卧位、斜卧截石位,每组各60例。观察3种体位安置前后患者心率、血压的变化;记录手术时间,出血量,术中并发症发生情况;结石清除率及患者术后的舒适度。护士对3种体位手术护理工作强度的评价。结果3种体位均能顺利完成手术,斜卧截石位体位安置后血压、心率比其余两种体位更稳定,手术时间明显缩短。侧卧位术后出现肢体不适高于其余两组。俯卧位出现胸膜损伤3例,4例肠道损伤,侧卧位发
3、生4例胸膜损伤,肠道损伤2例;斜卧截石位肠道损伤1例;斜卧结石位明显降低护士工作强度。结论PCNL患者采用斜卧截石位,能稳定患者的呼吸循环功能,减少并发症的发生,便于医生操作,减少护士的工作量。【关键词】经皮肾镜;碎石取石;体位;AbstractObjectiveToinvestigatethethreedifferentposturalrubbleofminimallyinvasivepercutaneousnephrolithotomylithotomy(PCNL)inpatientsaffected.Methods1
4、80casesofminimallyinvasivepercutaneousnephrolithotomylithotripsypatients,surgicalpositionintotheproneposition,lateralposition,recumbencythelithotomyposition,eachgrouphad60cases.Observationofthepatient'sheartrate,bloodpressurebeforeandaftertheplacementofthethreekin
5、dsofposturalchanges;recordingoperativetime,bloodloss,intraoperativecomplicationshappened;stoneclearancerateandthepostoperativecomfort.Nursesurgerythreekindsofposturalstrengthevaluationofnursingwork.ResultsThreekindsofposturalabletosuccessfullycompletethesurgery,re
6、cumbencyaftertheplacementofthelithotomypositionposturalbloodpressure,heartrateismorestablethantheothertwopositions,theoperativetimewassignificantlyshortened.Thelateralbitpostoperativelimbdiscomfortthantheothertwogroups.Threecasesofpleuralinjuryproneposition,fourca
7、sesofintestinalinjury,thelateralpositionfourcasesofpleuralinjury,twocasesofintestinalinjury;decumbenslithotomypositionintestinalinjurycases;theRecliningstonesthebitsignificantlyreducetheintensityoftheworkofnurses.ConclusionPCNLpatientswithrecumbencythelithotomypos
8、ition,abletostabilizethepatient'srespiratoryandcirculatoryfunction,reducetheincidenceofcomplications,andeasyfordoctorstooperatetoreducetheworkloadofnurs