高原地区B超引导下穿刺枪肾活检穿刺术的护理体会.docVIP

精品论文 参考文献 高原地区B超引导下穿刺枪肾活检穿刺术的护理体会 唐婷 龚运兵 朱美洁 邓永明 李川 李素芝 　　（西藏军区总医院肾脏内分泌科 西藏拉萨 850007） 　　【摘要】目的 了解我国西藏高原地区慢性肾脏病的肾活检的取材质量及并发症发生情况，探讨护理在肾活检过程中的重要性。方法 回顾性分析西藏军区总医院2011年6月至2013年10月因肾脏疾病行肾活检的107例患者取材质量及并发症发生情况，对患者进行肾活检全程护理。结果 本组患者行肾活检时平均年龄29.8plusmn;12.2（10～66）岁，男性47例（占43.9%），女性60例（占56.1%），藏族75例（占70.1%），汉族31例（占28.9%），白族1例（占1%）。本院无一例肾活检严重并发症。结论 有效的护理干预对于安全顺利完成肾活检起到至关重要的作用。施行有效术前、术中、术后的护理，术中医护患的配合，对减少术后的并发症，提高肾??检术的临床安全性有着重要的意义。 　　【关键词】肾活检 并发症 护理 　　【中图分类号】R473.6 【文献标识码】A 【文章编号】2095-1752（2014）22-0108-02 　　Clinical epidemiology of renal disease at high altitude area based on renal biopsy data 　　TANG Ting1，ZHU Mei-jie1，DENG Yong-ming1， LI Chuan1， GONG Yun-bing1，LI Su-zhi1 　　（1. Department of Urokgy，General Hospital of Tibetan Military Command，Lhasa，Tibet 850007，China） 　　【Abstract】Objective Between June 2011 and October 2013 in Department of Urokgy，General Hospital of Tibetan Military Command，Lhasa,107 attempts of percutaneous renal biopsy were performed in renal patients.In this report,the pathologic entityes were analyzed retrospectively.Methodology The drawn quality and occurrence of complications in 107 patients were observed.The mean age at renal biopsy was 29.8plusmn;12.2（10～66）years.Male 47 cases (43.9 %), female 60 cases ( 56.1 %), 75 cases of Tibetans (accounting for 70.1% ) , Han 31 cases ( 28.9 per cent) , Bai one case (1%). Results (1) drawn quality: 107 patients were taken to the kidney tissue , assembly power 100% , the number of glomerular kidney tissue obtained 30.5 plusmn; 12.9.Qualified drawn only 2 cases, 1.8% ; drawn good 105 cases, accounting for 98.2% ; (2) the occurrence of complications: there was fewer complications, gross hematuria was occurred in 3 patients (2.8% ) , gross hematuria of 2 cases was disappearance in the application of vasopressin，1 patient with secondary epilepsy give up treatment and discharged ; perirenal hematoma incidence rate was 0.9%. Conclusion The Tibetan plateau rena