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高龄尿毒症患者的肾移植手术难度大,术中易出现意外情况,对手术护理要求较高。总结了121例高龄(50岁以上)患者肾脏移植手术配合经验,认为针对此类患者多伴有心肺疾患、高血压病及机体抵抗力低下等特点,强调术前加强手术间空气及物品的消毒,防止术中感染,是手术成功的第一步;术中配合包括掌握液体输入量、各种药物输入时机、静脉通路的选择、适当的肾脏复温、血氧的监测等是关键环节,可使患者顺利渡过手术难关。
Elderly uremic patients with renal transplantation difficult surgery, surgery prone to unexpected situations, higher requirements for surgical care. Summarized 121 cases of elderly patients (50 years of age) with renal transplant surgery experience that for such patients are often associated with heart and lung disease, hypertension and low body resistance and other characteristics, emphasizing the preoperative to strengthen the air between the surgery and disinfection items , To prevent intraoperative infection is the first step in the success of surgery; intraoperative cooperation, including the control of liquid input, timing of various drug inputs, the choice of venous access, appropriate renal rewarming, blood oxygen monitoring is the key link may be Make patients smoothly through the surgical difficulties.