CAJ | 학술논문

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≤2 cm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.
목적 탐토문진신활검호리안전관리적대책급조시.방법 대352례문진환자재채색다보륵초성감측、인도하,채용부압흡인"사각진침일초종천자법",수술전、후채취엄격세치적호리,관찰천자효과급병발증정황.결과 352례인조관찰적환자신활검성공솔위100%,술후육안혈뇨2례점0.6%,요산요통1례점0.3%,신주혈종발생솔위35%,기중절대부분위≤2 cm적미소혈종,미발생임하엄중병발증.결론 엄격장악괄응증,엄밀술전검사、술중、술후적관찰급호리,인진집행호리안전관리대책,시문진상규신활검안전개전적보증.
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.