目的 尿脓毒血症是上尿路结石术后众多严重并发症中的一个,严重威胁患者的生命安全,通过分析此类病人的护理及结果,探讨上尿路结石患者腔内术后并发尿脓毒血症的护理经验.方法 回顾性分析2011年4月至2015年11月于本科室行经皮肾镜取石术术后并发尿脓毒血症而转入ICU的患者的临床资料,分析患者手术前后病情变化和采取的治疗护理措施,总结早期识别上尿路结石腔内术后并发尿脓毒血症患者的护理经验.结果 72例患者经及时、有序、规范及有效的对症治疗和积极护理均痊愈出院,平均住院时间为(14.79±16.20)d,体温恢复正常的时间为(24.54±24.23)h.结论 上尿路结石腔内术后应密切观察患者病情,及早发现和及时处理尿脓毒血症,同时做好心理康复护理,才能最大化尿脓毒血症患者治疗效果,改善其预后和提高其生存率.%Objective Urosepsis is a severe complication after surgery for upper urinary tract calculi and is a great threat on the patients's life safety.This study aimed to explore the nursing care for postoperative urosepsis after endoscopic surgery for patients with upper urinary tract calculi analyzing the nursing experience and results.Methods The clinical data of 72 patients complicated with urosepsis after taking percutaneous nephrolithotomy (PCNL) at our department from April,2011 to November,2015 and transferred to ICU were retrospectively analyzed.The patients' disease conditions and the nursing measures were analyzed.The nursing experience of early observation of urosepsis patients after PCNL was summarized.Results All the 72 patients recovered and discharged from hospital after timely and efficient symptomatic tr.eatment and active nursing care.The hospital stay was (14.79±16.20) d.The time for body temperature recovering to normal was (24.54±24.23) h.Conclusions Patients with upper urinary calculi should be closely observed after surgery.Early detection and treatment of urosepsis as well as mentality rehabilitation nursing are very important.It can help maximize the effectiveness of the treatment of urosepsis,improve the prognosis,and increase the survival rate.
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