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helikopter
Dołączył: 03 Mar 2011
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Skąd: England
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 Wysłany: Pią 14:12, 04 Mar 2011 Temat postu: tory burch rdr vnd awh pzq |
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Percutaneous nephrolithotomy treatment of bleeding after lithotripsy
Collection system found on mucosal coating with pus, pus try not to hit stones or moss on the attached pus moss with foreign body forceps, because the inflammatory tissue with pus moss serious congestion, and very crisp, easy bleeding. ② towel attention mucosa during gravel suspicious tumor manifestations, some of the stones associated with cancer patients, postoperative bleeding can easily _5]. ③ gravel, you should choose the right kidney fistula, fistula too thick, Peel-away sheath is difficult to quit, the placement of fistula; meticulous fistula, renal fistula is difficult to oppression,[link widoczny dla zalogowanych], leading to excessive bleeding after surgery. Choose smaller than the corresponding sheath 2Fr the fistula,[link widoczny dla zalogowanych], either take a smooth sheath tube, and can effectively wound fistula compression to reduce the bleeding]. ④ After surgery, routine clamping of renal fistula 2h, because the surgical procedures inevitably damage the kidneys blood vessels cause bleeding,[link widoczny dla zalogowanych], kidney fistula leads from the kidney of the wound, fistula occlusion, can use its repressive role in hemostasis, the surgical reduce or stop the wound bleeding. ⑤ narcotic effect gradually diminishes after the wound occurs in patients with pain, pain relief for patients in a timely manner, avoid turning the body in pain cause bleeding. ⑥ Zhu Huanzhe bed rest after 3d, allow the wound to stabilize and then get out of bed,[link widoczny dla zalogowanych], can reduce the incidence of bleeding. ⑦ medical staff after the patients were observed to be ground into the bed fistula and catheter drainage situation, the patient's bedside should be left to accompany a person, in addition to helping patients to complete their daily life in bed, matters, importantly, can also help the situation observed in patients . Bleeding often occurs after surgery was rather sudden, bleeding in the 10 ~ 20rain 1000mL or more,[link widoczny dla zalogowanych], the importance of timely detection of condition changes. ⑧ found bleeding, the first fistula occlusion of the kidney, the majority of patients can be oppressed by the role of fistula bleeding, were ineffective, line intervention embolization. ⑨ best indwelling renal fistula more than one week until the fistula after the removal, in order to avoid fistula after the removal, bleeding to. Perirenal and difficult to control. Fistula removal action to light, not with violence, while the removal of fistula drainage while observing the color of the liquid and pipe weeks with or without bleeding, if bleeding is suspected, immediately fistula response in situ, and occlusion, observed condition changes. (1O) in patients with renal insufficiency, even if the normal coagulation function tests are also susceptible to bleeding, blood urea nitrogen and creatinine increased significantly for those who may first renal biopsy with or without heparin dialysis fistula, renal function improved until after the surgery. Percutaneous lithotripsy treatment is gradually becoming the preferred method of urinary tract stones], it is higher than the traditional open surgery has been largely reduces the risk. Postoperative bleeding is a serious complication of the surgery. But as long as the treatment of post-operative attention, carefully observe the patient, try to avoid the occurrence of bleeding, if there is timely treatment, application of appropriate measures, you can also get satisfactory results. [
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