First, ". . . I can't even eat, I have no strength for two days after operation, and my legs are weak after walking at home for a while. . . "You can go to a nearby clinic to get some nutrient solution and rest for a few days.

Second, gravel post-treatment

(1) Rest: According to the amount of gravel, it is easy to be discharged after crushing. If the stone is large and large, you should stay in bed for three days after crushing, get out of bed as little as possible, take the position of the affected side, slow down the discharge speed of gravel particles as much as possible, and avoid or reduce the possibility of stone road formation. A small number of patients will feel dizzy and vomit after using dolantin to relieve pain, and they can recover after a day of bed rest.

⑵ Exercise: In addition to the above situations, patients should be instructed to exercise more to facilitate the discharge of stones.

⑶ Drinking water and rehydration: Drinking more water can increase urine output. Urine flushing is the best way to help remove stones and relieve urination discomfort. Drinking water at most every day can be controlled at around 8000ml. In the case of fluid replacement, the amount of infusion should be deducted from the amount of drinking water.

⑷ Lithotripsy position: Different positions can be used to assist lithotripsy for stones in different parts, and no special position is required for stones in renal pelvis, upper middle calyx, ureter, bladder and posterior urethra. Calculi in the lower calyx of kidney should be discharged from head to foot, and the effect will be better. (handstand posture)

5. Stone-expelling drugs: There are many stone-expelling drugs, and the combination of traditional Chinese and western medicine and general attack have better stone-expelling effects. Our college used Chinese medicine Paishi decoction, combined with electromagnetic therapy, the rate of Paishi almost doubled.

[6] review time: for simple stones, stone removal is generally smooth, and there is no need to review K.U.B (abdominal plain film) in a hurry, usually 7 ~ 10 days. Patients should be instructed to pay close attention to large and complicated stones. If there are no symptoms of stone discharge or obstruction, K.U.B or B-ultrasound should be immediately reviewed to decide whether to deal with them.

Third, the treatment of complications after lithotripsy

There will be some complications in ESWL, usually with mild symptoms and self-healing without special treatment. However, if the symptoms are serious, it may lead to adverse consequences if it is not handled properly or in time, which should be paid attention to. The common clinical complications after ESWL and their prevention and treatment are introduced as follows:

1. Bleeding

① Hematuria: After ESWL, almost all of them had gross hematuria. On the one hand, its severity is directly proportional to the energy of gravel, and also related to the brittleness of local capillaries. Under normal circumstances, the gravel should be hematuria for 2 ~ 3 times, and the severe hematuria should disappear within 2 ~ 3 days. If hematuria occurs, contact the attending physician in time and handle it according to the doctor's advice.

② Perirenal hemorrhage: The main causes are disorder of coagulation mechanism, uncontrolled hypertension or excessive impact energy, which can also occur if the kidney is infected. The prevention method is to strictly control the indications before ESW and control the impact energy within the safety limit. ③ Subcutaneous hemorrhage: ecchymosis appears on the skin after lithotripsy, which is mainly related to the vascular characteristics of the skin. The adaptability of skin to energy is poor, and it is generally not treated, leaving no trace after healing.

2. Pain: Stone fragments appear after lithotripsy to stimulate the ureter, and the renal colic will disappear after the stone passes through the stricture, without special treatment. If the pain is unbearable, spasmolytic drugs can be used to relieve spasm and pain, and anti-inflammatory drugs can also be used, such as 654-2 and diclofenac sodium suppository. Vomiting patients must be infused to correct electrolyte imbalance in the body. If there is pain and the stone is not removed, it may be a stone path, and it is necessary to carry out lithotripsy or endoscopic stone removal again to eliminate obstruction.

If there are no other questions, don't worry.