经皮肾石取出术(PCNL)是治疗上泌尿道结石的新方法之一、它是在硬外麻或全麻下,患者在C臂X光观察下一期或分二期行穿刺,扩张、取石。它具有损伤少、恢复快的优点。我院自1985年5月至1990年12月共行PCNL共405例,现报告如下: 临床资料 405例中男231例、女174例,结石部位在肾盂、下盏。取石成功386例(95.3％。)严重合并症17例(4.4％),其中出血12例,尿瘘、肾功能衰竭、结肠穿孔、肾周脓肿、败血症各1例。术中输血率为22.8％,术后体温>38.5℃发生率为23.3％、>39℃发生率为8.7％、平均持续4.4天。护理要点 Percutaneous nephrolithotomy (PCNL) is one of the new methods for the treatment of upper urinary tract stones. It is performed under hard-arm or general anesthesia. The patients underwent one-stage or two-arm C-arm X-ray puncture and dilation , Take the stone. It has the advantages of less damage and faster recovery. Our hospital from May 1985 to December 1990 PCNL a total of 405 cases, are as follows: Clinical data of 405 cases of male 231 cases, 174 females, stones in the renal pelvis, lower light. 386 cases were successful (95.3%), 17 cases (4.4%) were serious complications, including 12 cases of hemorrhage, 1 case of urinary fistula, renal failure, colon perforation, perirenal abscess and sepsis. The intraoperative blood transfusion rate was 22.8%, postoperative body temperature> 38.5 ° C was 23.3%,> 39 ° C was 8.7%, an average of 4.4 days. Nursing points