CAJ | 학술논문

目的探讨肾损伤出血患者行超选择性肾动脉栓塞术的观察及护理。方法 12例肾损伤性出血患者，其中肾脏闭合性损伤5例，医源损伤性6例，肾脏错构瘤畸形血管破裂1例，采用选择性肾动脉栓塞术治疗。充分做好术前准备及心理护理，术后加强对生命体征及穿刺部位、栓塞综合征的观察，做好生活护理及康复指导。结果造影证实11例肾段或段以下肾动脉分支损伤，1例为残余肾动脉出血，经明胶海绵和/或弹簧钢圈栓塞后，全部患者血尿消失，随访3个月无复发，无并发症。结论充分做好术前准备及心理护理，加强术后观察及护理可减少并发症的发生，促进患者康复。
목적탐토신손상출혈환자행초선택성신동맥전새술적관찰급호리。방법 12례신손상성출혈환자，기중신장폐합성손상5례，의원손상성6례，신장착구류기형혈관파렬1례，채용선택성신동맥전새술치료。충분주호술전준비급심리호리，술후가강대생명체정급천자부위、전새종합정적관찰，주호생활호리급강복지도。결과 조영증실11례신단혹단이하신동맥분지손상，1례위잔여신동맥출혈，경명효해면화/혹탄황강권전새후，전부환자혈뇨소실，수방3개월무복발，무병발증。결론 충분주호술전준비급심리호리，가강술후관찰급호리가감소병발증적발생，촉진환자강복。
Objective Explore the observation and nursing of traumatic renal hemorrhage patients with selective renal artery embolization. Methods Well preparation before operation and psychological nursing to the 21 patients. Enhancing observation of vital signs, puncture site, embolism syndrome after the selective renal artery embolization. Good living nursing and rehabilitation guidance. Result 20 patients only had one embolization and hemorrhage ceased. Only one patient had 2 emboliztions and hemorrhage ceased, hematuria disappeared, without embolization complication. Follow-up survey half an year, no hemorrhage recurrence and renal function is well. Conclusion Well preparation before operation and psychological nursing, enhancing observation and nursing of patients after operation can reduce complication and promote rehabilitation recovery.