Complications Of Renal Puncture

① After the patient's kidney biopsy, press the local wound for a few minutes, and then push the flat cart into the ward.

② Measure blood pressure and pulse every half an hour, and stop measuring after 4 hours when blood pressure is stable. If the patient's blood pressure fluctuates greatly or is low, it should be measured to be stable, and symptomatic treatment should be given.

③ After lying supine for 20 hours, if the condition is stable and there is no gross hematuria, you can go to the ground for activities. If the patient has gross hematuria, the bed rest time should be prolonged until the gross hematuria disappears or is significantly relieved. Intravenous hemostatic drugs or blood transfusions are given if necessary.

④ After surgery, the patient should be asked to drink more water to discharge a small amount of blood clot as soon as possible. At the same time, urine samples were collected for 3 routine inspections.

⑤ During bed rest, instruct the patient to rest quietly, reduce the movement of the body, and avoid causing wound bleeding. At the same time, carefully observe whether the patient's wound oozes blood and strengthen life care.

⑥ The changes of the patient's vital signs should be closely observed, and the chief complaint of discomfort should be inquired, and any abnormality should be dealt with in time. ①Hematuria: About 60-80% of the patients have different degrees of microscopic hematuria, and some patients may have gross hematuria. In order to expel a small amount of bleeding from the kidneys as soon as possible, in addition to absolute bed rest, the patient should be instructed to drink a lot of water, and should be observed every time Changes in urine color to determine whether hematuria is gradually increasing or decreasing. If hematuria is obvious, the time of bed rest should be prolonged, and hemostatic drugs should be given intravenously in time, and blood transfusion should be done if necessary.

② Perirenal hematoma: absolute bed rest within 24 hours after renal biopsy. If the patient cannot tolerate it, the importance of absolute bed rest and the possible complications of strenuous activity should be explained to the patient in time. in order to obtain the cooperation of the patient. After no gross hematuria and bed rest for 24 hours, start gradually moving, and must not suddenly increase the amount of activity to avoid rebleeding of the wound that is not completely healed. At this time, the patient's activities should be limited, and appropriate care should be given in life. Patients with perirenal hematoma found in postoperative B-ultrasound examination should prolong the bed rest time.

③Low back pain and discomfort: Most patients have mild ipsilateral low back pain or discomfort, which usually lasts about 1 week. Most patients can take general painkillers to relieve pain, but patients with perirenal hematoma have severe low back pain, and narcotic painkillers can be given for pain relief.

④ Abdominal pain and distension: Some patients have abdominal pain after renal biopsy, which lasts for 1 to 7 days, and a few patients may have tenderness and rebound tenderness. Due to changes in living habits and the pressure of the abdominal girdle, patients may drink a lot of water or experience abdominal distension. Generally, no special treatment is required. For patients with obvious abdominal distension and abdominal pain, lactase and antispasmodics can be given to relieve symptoms.

⑤ Fever: Patients with perirenal hematoma may have moderate fever due to the absorption of the hematoma. Care should be taken as a fever patient and appropriate drug treatment should be given.

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