Một số biến chứng sớm ở người bệnh sau phẫu thuật tán sỏi thận qua da đường hầm nhỏ và một số yếu tố liên quan tại Bệnh viện Trung ương Quân đội 108=Description of some early complications in patients after percutaneous nephrolithotomy with small tunnel and some related factors at 108 Military Central Hospital

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Tác giả: Thị Huyền Nguyễn, Thị Mai Anh Nguyễn, Thị Thảo Nguyễn, Thu Hà Nguyễn, Thị Bích Phạm

Ngôn ngữ: vie

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Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2024

Mô tả vật lý: tr.27-33

Bộ sưu tập: Metadata

ID: 485916

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Mục tiêu: Mô tả một số biến chứng sớm ở người bệnh sau phẫu thuật tán sỏi thận qua da đường hầm nhỏ và một số yếu tố liên quan tại Bệnh viện Trung ương Quân đội 108. Đối tượng và phương pháp:Nghiên cứu mô tả cắt ngang trên 210 trường hợp sỏi thận được điều trị tán sỏi thận qua da đường hầm nhỏ tại Bệnh viện Trung ương Quân đội 108 từ 01/01/2022 – 30/06/2022. Theo dõi người bệnh sau phẫu thuật sau 24h, áp dụng Thang điểm Clavien Dindo cải tiến phân loại các biến chứng. Kết quả: Tỷ lệ biến chứng sau mổ ở mức độ nhẹ theo phân độ của Clavien – Dindo với lần lượt độ I là 4,29% và độ II là 0,48%
không gặp các biến chứng nặng độ III, IV, V. Thời gian phẫu thuật và số lượng đường hầm có mối liên quan với biến chứng (p <
0,05). Kết luận: Biến chứng sớm của người bệnh sau phẫu thuật tán sỏi qua da đường hầm nhỏ theo thang điểm Clavien Dindo chủ yếu là các biến chứng độ I, độ II. Người điều dưỡng cần có kế hoạch chăm sóc, theo dõi người bệnh có thời gian phẫu thuật trên 60 phút, có trên 2 đường hầm phẫu thuật để giảm những biến chứng.Objective: Description of some early complications in patients after percutaneous nephrolithotomy with small tunnel and some related factors at 108 Military Central Hospital. Methods: Cross-sectional descriptive study on 210 cases of kidney stones treated with percutaneous nephrolithotomy at 108 Military Central Hospital from January 1, 2022 to June 30, 2022. Postoperative patient follow-up after 24 hours, applying the improved Clavien Dindo scale to classify complications. Results: The rate of postoperative complications was mild according to Clavien-Dindo grading with grade I being 4.29% and grade II being 0.48%, respectively
no severe complications of grades III, IV, V were encountered. Surgery time and number of tunnels were correlated with complications (p <
0.05). Conclusions: Early complications of patients after percutaneous nephrolithotomy with small tunnel according to the Clavien Dindo scale are mainly grade I and grade II complications. Nurses need to have a care plan and monitor patients with surgery time of more than 60 minutes and more than 2 surgical tunnels to reduce complications.

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