输尿管软镜患者的术后护理查房课件



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16、 level,*,输尿管软镜患者的术后护理查房,输尿管软镜患者的术后护理查房,目录,主,要,内,容,患者基本资料,1,疾病相关知识介绍,2,主要护理诊断问题,3,护理措施及效果评价,4,目录主患者基本资料1疾病相关知识介绍2主要护理诊断问题3护,病例汇报,一般资料,:,34,床,张益国,男,4,2,岁,主诉,:患者因“发现右肾结石,3,月余”,于,2014.4.17,以“右肾结石伴积液”收治入院,入院体格检查,:T36,.5,,P,86,次/分,R,20,次/分,BP12,8,/,76,mmg,体重,77,Kg。神志清楚,瞳孔等大等圆,对光反射灵敏,营养正常,大小便正常,无发热、寒颤。无引流管,主动体位,皮肤完好。专科检查:腹部无膨隆,未见腹壁静脉曲张及蠕动波,腹软,无腹部压痛,无反跳痛,无液波震颤,右肾区轻度叩击痛,肠鸣音不活跃,无血管杂音;,辅助检查,CT,示,:,1,)右肾多发结石伴右侧肾盂盏积液。,2,)肝左叶内侧段小囊肿。,病例汇报一般资料:34床,张益国,男,42,个人史:,出生于当地,无长期外地居留史,无吸血虫病流行区疫水接触史,偶尔喝酒,无吸烟史。,既往史:,否认糖尿病
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