19例脑型疟疾患者的护理

总结了19例脑型疟疾患者的护理方法，包括对症护理，隔离措施以及健康教育，认为良好的护理措施可明显提高治愈率，减少并发症，减低病死率和复发率。     

输入性恶性疟疾68例的临床观察护理

探讨输入性恶性疟疾病人的病情观察与护理要点。方法：采用回顾性分析总结的方法,对68例输入性恶性疟疾病人进行病情观察与护理干预。结果：本组病人平均住院11d,除1例死亡外,其余均治愈出院,无并发症发生。结论：按时按疗程服药,细致的病情观察,及时的对症治疗和护理,可提高治愈率,杜绝复燃及传播发生。     

恶性疟疾患者的观察及护理

目的：探讨恶性疟疾患者的临床观察护理特点。方法：采用回顾性分析总结的方法,对5例恶性疟疾患者在临床治疗过程中出现的高热、溶血性黄疸、溶血尿毒综合征、急性肾功能衰竭、贫血症进行了临床护理观察。结果：本组患者住院时间8～40 d,平均18.4 d,均痊愈出院。结论：在恶性疟疾的临床治疗过程中,加强对高热、溶血性黄疸、溶血性尿毒综合征、急性肾功能衰竭等并发症的观察和护理,并对患者心理进行耐心疏导,是提高治愈率的重要保证。     

维和医院恶性疟疾患者的临床护理

目的探讨维和医院恶性疟疾患者及其并发症的临床护理特点。方法采用分析总结的方法，对维和医院163例恶性疟疾患者在临床治疗过程中，出现的高热抽搐、低血糖反应、急性肾功能衰竭、贫血和患者的心理因素，进行了临床护理观察。结果发现高热抽搐、低血糖反应和贫血的发生率及严重程度均呈上升趋势，临床耐药病例也明显增多。结论在恶性疟疾的临床治疗中，对高热抽搐的降温、防抽搐护理、低血糖状态的及时发现和处理、急性肾功能衰竭的发现和治疗中各生命指标的观察，以及对患者心理护理和耐心疏导，是提高患者治愈率的重要保证。     

1例飞行员重症恶性疟疾及其并发症的护理

目的 探讨飞行员重症恶性疟疾及其并发症的护理特点.方法 结合文献对1例飞行员重症恶性疟疾及其并发症的病情进行观察及护理,总结经验.结果 该例患者起病临床表现较为典型,病情进展迅速,经及时诊断、对症、对因治疗及精心护理,住院30 d后康复出院.结论 在重症恶性疟疾及其并发症的临床护理过程中,加强对高热及急性肾衰竭、急性肝功能不全、急性重度溶血性贫血、溶血性尿毒综合征等并发症的观察和护理,并及时对患者进行心理疏导,是提高治愈率的重要保证.     

18例输入性疟疾的护理

【目的】总结输入性疟疾患者的护理经验。【方法】回顾性分析本科诊治的18例输入性疟疾的临床表现与治疗方法,针对患者临床特点、并发症采取相应的护理干预。【结果】18例患者治愈17例（94．4％）;死亡1例（5．6％）。9例并发中毒性肝炎,5例溶血性尿毒症综合征,4例出现意识障碍,4例急性肾功能衰竭,1例继发癫痫,1例出院3周后发生再燃。【结论】提供全方位综合护理干预是提高恶性疟疾救治成功率、促进康复的有力保障。     

维和二级医院六例恶性疟疾患者的救治护理体会

目的探讨维和二级医院6例恶性疟疾患者的临床救治护理特点。方法对维和医院6例恶性疟疾患者采取高热护理，纠正水电解质紊乱，贫血、消化道护理，心理护理及健康教育。结果本组6例患者体温均在24～48h内逐渐恢复正常，7d完全治愈，未出现不良反应及严重并发症。结论在特定环境下，积极有效地对恶性疟疾患者治疗和护理，对于预防并发症，降低维和人员的病死率，具有重要的意义，对今后我国护理工作走向世界具也有一定的借鉴意义。     

输入性疟疾的临床特征及护理

目的 分析输入性疟疾患者的临床特征,实验室检查和护理策略,为今后输入性疟疾的护理和防控提供科学依据.方法 收集2018年1月-2020年12月我院收治的167例输入性疟疾患者的临床资料,对患者出国史、临床特征、实验室检查和护理等进行回顾性分析.结果 167例输入性疟疾患者,均有明确的外出疟疾高流行地区务工及居旅史,主要...     

临床护理路径在输入性恶性疟疾中的应用

目的探讨临床护理路径(CNP)在输入性恶性疟疾中的应用效果。方法对2011年7—12月收治的45例输入性恶性疟疾患者实施CNP,并与2011年1—6月收治的40例患者进行比较,分析实施CNP前后患者住院天数、并发症发生率、健康知识知晓率、患者满意度等情况。结果实施CNP后,患者住院天数、并发症发生率、健康知识知晓率、患者满意度优于未实施CNP的对照组,差异有统计学意义(P<0.05)。结论与常规护理相比,应用CNP更有利于减少住院时间、降低并发症发生率、提高健康知识知晓率及患者满意度。     

121例重症恶性疟疾的临床抢救

目的重症恶性疟疾病情重，变化快，并发症多，患者若抢救不及时常可导致死亡，为观察疗效，总结121例重症恶性疟患者的临床抢救情况。方法用国产青蒿琥酯、蒿甲醚和法国产Quinimax配合一系列综合治疗。结果抢救121例重症恶性疟疾患者，共治愈103例（85．1％），死亡18例（14．9％）。结论早期诊断，积极预防并发症是降低死亡率的主要环节。     

Intérêt du Télos dans l'évaluation de la laxité chronique antérieure du genou en pré- et en postopératoire

The objective of our work is to clarify the contribution of knee arthrometer in the diagnosis of the anterior laxity of the knee, to look for the factors of escalation of this pathology, to estimate the objective results and outcomes following of the anterior cruciate ligament surgery. It is about a retrospective study which concerned 78 patients presenting the anterior chronic laxity of the knee, investigated, treated and followed in the M.-T.-Kassab Institute of Orthopaedics over a period of 10 years. The average age of our patients was of 27.6 years with a male ascendancy. The anterior cruciate ligament surgery was realized according to the technique of Kenneth-Jones under arthroscopy. The arthrometer has been used to determine the outcome 6 months after the surgery. Before the surgery, the average anterior translation of the tibia was 15.3 mm, 95% of the patients had 8 mm previous absolute laxity, while the differential was about 4 mm in 87% of the cases in which comparative study could be made. There was a statistically significant correlation between the Lachman's test, the internal meniscus injuries and the delay accident — surgery with the anterior knee laxity in the arthrometer. The postoperative average laxity was bout 8.2 mm and earning was proportional to the importance of the initial tibial translation. The present study demonstrates that arthrometer tests may be an objective complement for the clinical exam, with a diagnostic, previous and therapeutic purpose.     

宫颈高度鳞状上皮内瘤变的“即诊即治”策略

目的探讨宫颈高度鳞状上皮内瘤变应用＂即诊即治＂策略的价值。方法选取宫颈细胞学检查为高度鳞状上皮内瘤变（HSIL）,并经阴道镜检查、镜下活检及宫颈电圈切除术（LEEP）治疗的患者76例,按阴道镜RCI评分分成高评分组、低评分组,对组织病理结果及过度治疗率进行回顾性分析。结果 RCI高评分组CINⅡ、Ⅲ及以上病变比例为97.4%,低评分组59.5%,高评分组过度治疗率2.6%,低评分组40.5%（P〈0.001）,不同RCI评分组的过度治疗率差异有统计学意义,高评分组过度治疗率显著低于低评分组。结论对于细胞学为HSIL,经阴道镜检查RCI高评分,提示高度病变的患者,采取＂即诊即治＂策略快速而有效地进行诊治,是较为适宜的;而细胞学检查HISL、RCI低评分者,仍以传统三阶梯方案进行筛查诊治为宜。     

Place du traitement médicamenteux et des infiltrations dans la prise en charge médicale des lésions de la coiffe des rotateurs

One of the main objectives of medical treatment of rotator cuff lesions is to attenuate or totally relieve pain and allow the patient to access the next phase of functional rehabilitation. Relative rest is desirable. Harmful sports movement should be avoided. Strict immobilization is never indicated. The question is raised as to whether wider use of analgesics would be warranted. The inflammatory nature of rotator cuff tendiopathies remains to be clearly demonstrated and the efficacy of analgesics in this indication would be related more to their intrinsic pain killer action. Analgesics should thus be prescribed prudently and limited to a few days, particularly because of the potential adverse effects. Theoretically, steroidal anti-inflammatory drugs should not be used for tendonitis. Myorelaxing agents could be used in the event of associated muscle contracture. If the patient requires further relief, corticosteroid injections could be considered, taking care to avoid contraindications for intra-articular injections and avoiding any risk of contamination while keeping in mind the possible adverse effects.     

Analysis of older adults visiting the emergency department with fever as a suspected Covid-19 vaccine-related adverse reaction: A retrospective multicenter study

IntroductionAfter COVID-19 vaccination was initiated, the number of patients visiting the emergency department (ED) with vaccine-related adverse reactions increased. We investigated the clinical features of older adults (aged 65 years and older) visiting the ED with self-reported COVID-19 postvaccination fever.MethodsWe conducted a retrospective observational study at three EDs between March 2021 and September 2021. Patients who reported adverse reactions, fever (≥37.5 °C) and/or febrile sensation or rigors following COVID-19 vaccination were included. The demographic and clinical data of these patients were collected by reviewing their medical records.ResultsA total of 562 patients were selected, and 396 (70.5%) were female. The older adult group included 155 (27.6%) patients, and the median age was 75 (69–79 years). The older adults less frequently had a fever (≥37.5 °C) upon ED presentation (75.5% vs. 85.7%, respectively), used more emergency medical services (43.9% vs. 18.7%, respectively), and visited an ED more frequently during early hours (00:00–06:00) (31% vs. 20.1%, respectively) compared to the younger adults (p = 0.004, p < 0.001 and p = 0.036). Fewer older adults visited an ED within 2 days of fever onset (73.5% vs. 84%) (p = 0.012), and more older adults were admitted for medical conditions other than vaccine-related adverse reactions (32.9% vs. 4.2%) (p < 0.001). Older adults received more thorough testing (laboratory and imaging tests). Among the older adults, the admission rate was associated with age (p = 0.003).ConclusionOlder adults presenting with fever as an adverse reaction following COVID-19 vaccination less frequently had a fever upon visiting the ED, required more ED testing, and had higher admission rates for non-vaccination-related medical conditions.     

Instabilité antérieure récidivante de l'épaule chez le rugbyman. Résultats d'une série de 85 épaules opérées par la technique de Latarjet avec un recul moyen de sept ans

The stabilization of an unstable chronic shoulder is a difficult challenge in the contact sportsman especially the rugby player. We report our experience of the modified Latarjet procedure with a retrospective series of 85 shoulders (79 rugbymen at 75 months follow-up). It acted all young men with a prevalence of dominant shoulder, occupying all the stations (over-representation of the third lines). Eighty percent presented osseous lesions; the first luxation was traumatic during a tackle. We describe our technique and our postoperative protocol. Seven percent experienced recurrence of their instability after a new traumatism and 67% returned to rugby within 8 months by keeping for some of them a sport practice functional embarrassment (16 patients). Only two mechanical complications were observed, 93% of the patients were satisfied with their intervention.     

Spécificités de la pratique du rugby chez l'enfant

The knowledge of the specificity of the child compared to the adult and his reactions regarding the exercise will make it possible to answer parents questions as well as possible and to accompany the child and the teenager in their sporting practice. Five essential concepts govern the practice of Rugby in the child: 1) the child is not an adult in miniature. It is an organization in constant evolution towards its physical and psychic statute of adult. He has a free will depending on the others; 2) Rugby must remain for him a ludic space, where the motivation must be the first condition; 3) the child is a mosaic of growth cartilages. Traumatic pathology is preferentially a pathology of this structure in the acute traumatisms (epiphysium separation rather than distorsion, muscular apophyse avulsion rather than tear) and under the effect of chronic microtraumatisms (osteochondrosis rather than tendinitis); 4) overtraining will result in a disturbance of one of the factors of the general balance of the organization which it acts of a pain, of against performance, an abnormal tiredness, of a demotivation, a relational disorder (mood, affectivity), of lower school output of which it will be necessary to establish a relationship to the sporting practice; 5) the execution of a sporting gesture must always be modulated as of the appearance of a pain, true alarm.     

Épicondylites : « les nouveautés en 2007 »

What news for 2007 concerning sportsmen lateral epicondylitis? Concerning biomechanics, we will evaluate the role of the supinatus at the same time we will talk about the complex characteristics of the functionnel unit. An anatomic work has showed in some cases, the involvment of ligment structure that could explain the atypical side of the pain and sometime the failure of the treatment. As for rehabilitation, we will insist on the importance of excentric work. The braces conserve a certain importance. We insist on new therapeutics and mostly on the interest of trinitrine patches. Botulinium toxic is still discussed and the recent study of Hayton does not show any significant difference with placebo injection. An original autologue blood injection in the epicondylitis tendon demonstrates good results and specially in the cases that resist to the corticoid therapeutics. We will talk about our experience. Considering corticoide injections a Crowther publication reveals a significant result compared to choc waves therapy. At last, we will criticize the Smidt study because we believe that the use of fluorite corticoid induce iatrogenic effects. We will conclude this article by our 2007 propositions about the local corticoid indication.