习惯性敏感

道路突然干净了,临街小贩“失踪“了,晨练的老汉说:又有检查团要来了。某君提拔升迁了,同事们背后“嘀咕“开了:不知又花了多少钱了?肯定走了某某人的路子了!一向严肃的领导突     

大家心情好 世界祥和了

好心情,是相当宝贵的."天的心情好了,天就晴朗了;水的心情好了,水就流淌了;花的心情好了,花就开放了;鸟的心情好了,鸟就飞翔了.打开心灵的天窗,让阳光漫步;     

生活中的反差

这是一个充满矛盾处处成反比的时代,来看看它的现状吧。我们的房子变大了,家庭却变小了;便利设施增加了,时间却不够用了;学历高了,生活常识却越来越少了;知识面拓宽了,判断力反而差了;医学日益昌明,疾病却多了。公路宽了,思想却变狭窄     

项目工作促进我市基层保建组织建设

榆林市通过开展项目工作,促进了基层妇幼保健组织建设。建立健全了县、乡、村三级妇幼保健网,选聘了村级妇幼保健员,合理的解决了报酬,稳定了队伍。为适应项目工作的需要,开展了培训工作,提高了村级保健员的业务素质。同时,加强了健康教育工作,提高了群众的自我保健意识和能力。     

催产素这回事儿

小琪的预产期都过去了快一周了,可小琪的肚子一点动静都没有。小琪有些坐不住了,她和家人准备了待产包办理了住院手续,为分娩做准备。医生对小琪及胎宝宝的状况进行了综合评估之后,为小琪注射了催产素进行催产,没过多久,小琪就有了临产的征兆。辛苦了十几个小时之后,小琪终于迎来了可爱的宝宝。     

我的健康我做主

我是一个高血压、高脂血症患者,大夫说再不注意血糖也要升高了,那就真成了名副其实的“三高”患者了。遵照医嘱．我首先改变了饮食结构．加强了锻炼。除去吃药调理外,主要是“管住了嘴,迈开了腿”。经过了一段时间的实践,我的血压正常了,血脂也有所下降,精神状态也比以前强多了,头也不晕了．四肢也不痛了,腿脚也不沉了。     

运用计算机网络系统促进医院会计核算管理

我院2002年担负军区军队医院会计核算管理办法试点,至今较好地掌握了军队医院会计核算的流程,基本上解决了医院会计核算系统与“军字一号”工程的无缝连接,实现了医院经济数据的资源共享,达到了“网络一连就通、数据一抓就准、报表一点就成”的要求。通过运用计算机网络系统,促进了医院会计核算,增强了理财能力,算清了“糊涂账”,降低了成本。夯实了家底,提高了经济效益,提高了服务保障能力。为实现“保障有力”的总要求打下了坚实的基础。     

从哪儿开始衰老

有人说,衰老是从视力开始的.远的东西模糊了,近的东西看不清了,老了.有人说,衰老是从记忆力开始的.眼前的事情,转身就忘,老了.也有人说,衰老是从骨头开始的.背越来越驼了,腿越来越没有力气了,老了.还有人说,衰老是从牙开始的.以前,吃什么东西都香,再硬的骨头都敢啃,现在,吃什么都没胃口了,牙缝越来越大了,吃饭的时间没饭后剔牙的时间长,最可怕的是,一颗老板牙,掉了,另一颗门牙,又松动了.老掉了牙,这是真的老了.     

人类正在自掘坟墓

也许,对于20世纪八十年代之后出生的年轻一代来说,他们再也无法领略先辈们曾经寻常所见的到处潺潺流水,举目蓝天白云遍地鸟语花香的美丽景色了。在他们的视野中,多了高耸的楼房,多了飞驰的汽车,多了大哥大、股票机,多了五颜六色的各式商品,可偏偏就是少了清澈的河流,少了满目葱茏的绿色,少了婉转悦耳的鸟鸣,少了野雉展     

多得：向医疗设备金牌服务商努力

创新奋进的2007年已经过去了,在各届朋友关怀帮助下,经过全体员工的努力,多得公司取得了卓越的成绩。政务部全面理顺了公司管理制度,强化了岗位培训,使得一批员工拿到专业上岗证书;并积极推进岗位职责改革制度,进一步提高员工绩效收放;开展了和多所高校的实习生合作,落实了奖学金发放;增大了文化报发行量;市场部推出了加盟活动;答谢了部分经销商客户,组织了首次合作培训活动并取得了较满意的效果;通过了ISO的复审,派员工参加国内国际的多次专业宣传,特别是参加德国杜塞尔多夫的会议,     

医院常用压力容器危险性及安全管理要点

总结分析了医用氧舱、低温液氧贮槽、消毒柜（灭菌器）等3种医院常用压力容器的结构特点、可能出现的安全隐患,以及安全管理重点,介绍了国家法规标准对此类设备的相关规定要求。     

供应室工作人员的职业危害与防护

医院消毒供应室承担着临床科室污染医疗器械、物品的回收、清洗、消毒及灭菌工作,工作量大,而且是污染物最集中、最多的区域。其工作性质决定着工作人员长期接触各种污染物品、锐利器械、化学消毒剂、各种电器、压力容器及环境中的噪音、高温等因素,严格做好有效的安全防护,避免职业感染确保自身健康。     

彩色多普勒能量图评价高血压病各期肾内动脉血流参数变化的应用价值

目的探讨彩色多普勒能量图(CDE)对高血压病患者肾脏血流动力学观测的价值。方法随机选择2009年4月～2011年10月期间在某院治疗的高血压患者121例,并选择78例健康体检者作为对照组。采用CDE检测肾脏血流分布情况及相关参数。结果随着血压增高,高血压病患者肾脏血流信号逐渐减少。随着血压的增高,PSV、S/D、RI及PI增加,而EDV逐渐减少。除了S/D外,其他指标各组间差异均有统计学意义(P﹤0.05)。结论肾动脉血流变化可以作为判断高血压病肾血管损害程度的参考依据。     

BV Plusera-小C型臂血管造影机在二级医院中介入放射的应用体会

目的：分析PHILIPS BV Plusera小C型臂血管造影机在二级医院中介入放射中的体会及临床效益。方法：回顾性总结我院自2004年2月-2005年7月使用该机进行115例血管造影及介入治疗。分析其图像质量和小C型臂的优缺点及应用体会。结果：全部病例顺利完成，图像质量良好，能较好地显示颅、颈部血管、冠状动脉及腹部血管和肿瘤血供的细微结构，为临床提供丰富的影像资料。结论：小C型臂血管造影机能满足一般介入放射的需求，在提高二级医院医疗技术水平及扩大对外影响有重大意义。     

微血管减压术治疗面肌痉挛合并三叉神经痛的疗效观察

目的：对微血管减压术（MVD）治疗面肌痉挛合并三叉神经痛的疗效进行观察。方法：选取2013年1月-2013年12月在本院以MVD进行治疗的面肌痉挛合并三叉神经痛患者12例,对患者术前采用三维时间飞跃序列技术经磁共振成像判断患者脑病变严重程度,并对手术过程、手术结果进行探讨。结果：术前磁共振成像图显示粗大扭曲椎动脉（VA）偏向于患侧,严重患者对侧的粗大扭曲椎动脉有向患处偏移的趋势。术中有5例患者椎动脉对面神经和三叉神经进行直接压迫,4例患者小脑前下动脉（AICA）和小脑后下动脉（PICA）对面神经和三叉神经间接进行压迫,3例患者小脑后下动脉对面神经进行压迫、小脑上动脉对三叉神经进行压迫。术后,8例患者疼痛症状消失彻底迅速,2例患者1个月后疼痛症状完全消失;2例患者术后7 d疼痛得到缓解,除此以外,还对患者的预后进行随访总结。结论：导致面肌痉挛合并三叉神经痛的主要原因为血管对面神经造成压迫,其直接或间接的责任血管为粗大移位的VA。MVD效果显著的关键在于该法是从后组颅神经开始,逐渐将VA向下移位,进行解剖,从根本上解决面神经受压迫问题,而并非简单地在神经与血管之间塞进垫片。微血管减压手术可有效治疗面肌痉挛合并三叉神经痛,且预后较好。同时本院提倡患者早诊断、找治疗,缩短病程,帮助尽早恢复。此法效果显著,值得在临床上广泛推广,帮助更多患者受益。     

A spiroarteriocardiorhythmograph

The design and principle of operation of a spiroarteriocardiorhythmograph are described. The device provides continuous noninvasive measurement of arterial pressure, detection of inhaled and exhaled air flows with a high-sensitivity ultrasonic spirometr, electrocardiogram detection, and joint analysis of these dynamal processes. Continuous measurement of pressure is performed by the method suggested by Penaz. The method is based on assessment of the volume of blood vessels of patient's finger from photoplethysographic signal. An electropneumatic follow-up system produces essure counteracting the changes in the diameter of arterial vessels patient's finger under the cuff. Thus, the diameter of the finger arteries remains constant, and the pressure in the cuff is equal to blood pressure in the arteries. This provides a unique opportunity for long-term detection of the entire curve of arterial pressure. Previously, such measurements could be performed only by the invasive Oxford technique.     

盆腔淋巴结切除术中结扎淋巴管与电凝闭合淋巴管的比较

目的:比较盆腔淋巴结切除术中丝线结扎和电凝闭合盆腔淋巴管断端术后盆腔淋巴囊肿形成的情况,从而找到更有效预防盆腔淋巴囊肿的方法。方法:选取南阳市中心医院妇产科2008年6月～2010年12月接受盆腔淋巴结切除术的宫颈癌患者。研究组42例,术中用4号丝线结扎双侧腹股沟深淋巴管、闭孔近端淋巴管、闭孔远端淋巴管、髂总淋巴管、髂内外静脉交叉处淋巴管共5处;对照组36例,术中用电凝闭合相应淋巴管。于手术后第1周、第4周、第12周和第24周对患者进行体格检查和B超检查,了解盆腔有无淋巴囊肿形成以及有无其他相关并发症的发生。结果:丝线结扎组与电凝闭合组患者基本情况、术后住院天数、手术时间、术中出血量、术后排气时间、卵巢移位、淋巴结转移,术后引流量比较,无统计学差异。电凝闭合组术后第1周、术后第4周、第12周淋巴囊肿形成率高于结扎组;术后第24周电凝闭合组与结扎组淋巴囊肿形成率无统计学差异。结论:盆腔淋巴结切除术中丝线结扎腹股沟深淋巴管、闭孔近端淋巴管、闭孔远端淋巴管、髂总淋巴管、髂内外静脉交叉处淋巴管比电凝闭合相应淋巴管在术后近期内可以有效地减少盆腔淋巴囊肿的发生率。     

Bluthochdruck bei Adipositas im Kindes- und Jugendalter

Obesity is also an important risk factor in children and adolescents for “essential” arterial hypertension, and contrary to what was assumed earlier, high blood pressure does cause damage to the cardiovascular system. As known from adults, elevated blood pressure induces cardiac hypertrophy, calcifications and atherosclerosis at the coronary vessels and thickens the small blood vessels. These early vascular alterations are particularly pronounced, when increased blood pressure is accompanied by other risk factors, such as dyslipidemia, hyperinsulinemia or smoking. As in any child with elevated blood pressure, the diagnostic evaluation should focus on confirmation of hypertension, determine if an underlying cause can be identified and whether hypertensive target organ damage is present. New reference office blood pressure values were recently published by a large representative community-based study in Germany. Therapy should begin with lifestyle modifications; however, antihypertensive medications will often be needed. Hypertension in obese adolescents occurs frequently and must be diagnosed and treated adequately.     

Hypotension Is a Risk Factor for New Pressure Ulcer Occurrence in Older Patients After Admission to an Acute Hospital

BackgroundPressure ulcer occurrence in older patients admitted to hospital has not been studied thoroughly; yet, pressure ulcers frequently develop among the frail older patients who are hospitalized. Identifying risk factors for pressure ulcer occurrence is of utmost importance in preventing its development in this group of patients. Hypoperfusion, as manifested by hypotension, is theoretically important in the development of pressure ulcer. However, studies on this aspect are scarce.ObjectiveTo examine whether a hypotensive episode (systolic blood pressure less than or equal to 90 mm Hg) is associated with pressure ulcer occurrence.MethodThis was a retrospective cohort study in a regional hospital. It recruited 259 patients aged 65 or older who were admitted to a convalescence ward and had a hospital stay for more than 5 days. Baseline clinical characteristics and the possible risk factors of pressure ulcer occurrence on admission and any episode of hypotension were recorded. The primary outcome measured was the incidence of pressure ulcer occurrence in the index admission.ResultsHypotension was strongly associated with incident pressure ulcer occurrence (odds ratio 6.71, P = .001).ConclusionsHypotension was an important risk factor for incident pressure ulcer occurrence during hospital stay. Every effort has to be taken to try to prevent hypotension. Precautions to prevent pressure ulcer development should be taken on patients who are hypotensive.     

A photoplethysmo-tonomanometer for examination of the vascular system and measuring hemodynamic parameters

A new method and an apparatus for noninvasive medical investigations of the vascular system are considered. During the investigations, the two known methods of arterial pressure measuring, namely Korotkov's method and Penaz's method were used. The combination of the methods and a special procedure algorithm allow the measuring, in addition to arterial pressure, of the other important hemodynamic parameters such as venous pressure, the characteristic time parameters of blood redistribution between arterial and venous vessels and pulse wave velocity. The diagram of the photoplethysmo-tonomanometer and the measuring algorithm procedure are provided.