[摘要] 目的 分析经皮肾镜碎石取石术(PCNL)患者术后发热的原因，总结相应的预防护理措施。方法 回顾性分析2016年12月—2018年12月在该院就诊的116例PCNL患者临床资料，均给予针对性的护理干预，分析该组患者PCNL发热原因及护理效果。 结果 所有患者均经治疗护理后痊愈出院;分析PCNL术后发热相关因素，术前尿路感染40.0%、灌注液量>30 L的43.2%、手术时间>2 h的59.1%、肾积水33.8%、结石表面积>6 cm2的36.3%、术中出血量>500 mL的55.0%是影响PCNL术后发热的相关因素(χ2=8.199、8.319、10.912、4.201、7.702、6.994，P<0.05)。 结论 分析PCNL术后发热的常见原因，给予针对性护理措施，预防术后发热。

    [关键词] 经皮肾镜碎石取石术;术后发热;原因分析;护理措施

    [中图分类号] R541 [文献标识码] A [文章编号] 1674-0742(2019)10(a)-0159-03

    [Abstract] Objective To analyze the causes of postoperative fever in patients with percutaneous nephrolithotomy (PCNL) and to summarize the corresponding preventive and nursing measures. Methods The clinical data of 116 patients with PCNL who were treated in the hospital from December 2016 to December 2018 were retrospectively analyzed. All patients were given targeted nursing intervention. The causes of PCNL fever and nursing effects were analyzed. Results All patients were discharged after treatment and nursing. The factors related to fever after PCNL were analyzed ......