外伤性脾破裂保守治疗的护理体会

目的探讨外伤性脾破裂保守治疗的护理方法。方法回顾性分析我院收治的42例外伤性脾破裂患者的临床资料，分析外伤性脾破裂保守治疗的临床价值的护理方法。结果42例患者除2例中转手术治疗外，其余患者在合理治疗和精心护理下已痊愈出院。结论保守治疗可以避免脾切除手术和影响机体的免疫功能，但需要加强急救和对病情的密切观察，这样才可以提高救治的成功率。     

交通伤致肝脾破裂患者围手术期护理

目的总结交通伤致肝脾破裂患者围手术期经验,提高护理水平。方法对71例交通伤致肝脾破裂患者的围手术期护理进行回顾性总结。结果治愈70例,死亡1例。结论重视交通伤致肝脾破裂患者的观察,加强嗣手术期护理,有助于提高治愈率,减少并发症的发生。     

责任制护理在骨折并发脾破裂患者护理中的应用效果观察

目的:探讨对骨折合并脾破裂患者给予责任制护理干预后获得的临床效果。方法:选择我院2016年12月～2018年05月收治的62例骨折合并脾破裂患者作为实验对象;抽签法分组后明确各组护理模式;对照组(31例):选择常规护理模式展开;观察组(31例):选择常规护理模式+责任制护理模式展开;对比应用效果。结果:观察组骨折合并脾破裂患者治疗显效率(54.84%)、治疗总有效率(96.77%)均高于对照组(22.58%)、(74.19%)明显,差异有统计学意义(P0.05);观察组骨折合并脾破裂患者下床活动时间以及住院时间均短于对照组明显,差异有统计学意义(P0.05)。结论:骨折合并脾破裂患者在接受护理干预期间,责任制护理模式的有效应用,对于合并症患者治疗效果提升,下床活动时间以及住院时间缩短,效果明显,最终对于患者康复的有效加快,奠定基础。     

50例创伤性脾破裂手术患者的护理

脾破裂是腹部外伤中最常见的腹腔内脏损伤,在临床腹部外伤的救治中占重要地位.创伤性脾破裂患者的围手术期护理对于保证疗效和预后康复十分重要.现将我们对50例脾破裂手术患者的护理体会报告如下:     

肝脾破裂大出血的抢救与护理

目的探讨肝脾破裂大出血患者术中的抢救与护理措施。方法回顾性分析42例肝脾破裂大出血患者的手术室中抢救配合的要点与护理方法。结果42例患者均顺利完成手术;治愈38例,术后发生并发症3例,死亡1例。结论手术室护士具备良好的应急反应能力,高度的责任感和同情心,熟练的技术操作及配合能力,是确保手术顺利完成,提高抢救成功率,降低死亡率的关键。     

脾破裂手术治疗的疗效观察

目的探讨手术治疗外伤性脾破裂的临床疗效。方法回顾性分析42例外伤性脾破裂患者的临床资料,所有患者均行手术治疗,观察治疗效果并总结治疗经验。结果 42例外伤性脾破裂患者行脾切除术共32例,单纯性脾修补术6例,脾动脉结扎保脾手术4例。术后所有患者均痊愈出院。结论根据脾破裂具体情况选择适宜手术方法进行治疗,可减少患者死亡率,同时最大限度保留脾脏功能。     

护理干预对脊髓损伤患者康复依从性的影响

目的:分析和探讨护理干预对脊髓损伤患者康复治疗依从性的影响。方法:将我院2016年2月~2017年11月间住院治疗的84例脊髓损伤患者随机分为常规组和观察组,其中常规组共42例,入院后采取一般治疗和常规护理;观察组42例在对照组的治疗和护理基础上有计划地制定并完善各种护理干预措施。治疗90d后,比较两组患者的康复依存性的变化情况。结果:观察组患者总依从率为90.48%,明显高于对照组的71.43%,差异有统计学意义(P0.05)。结论:护理干预可以改善SCI患者的心理状态,提高其康复依从性,改善患者的生活质量,对脊髓损伤康复起到积极作用,值得临床推广。     

B超对闭合性肝脾破裂的诊断价值分析

目的分析与探讨B超对于闭合性肝脾破裂的临床诊断价值。方法选取本院2008年8月—2012年8月收治的腹部闭合性损伤患者共60例,通过手术检查确定为肝破裂共32例,脾破裂共28例,对患者采取B超检查,对比B超检查结果与最终手术结果,以分析B超检查的准确性。结果采用B超对闭合性肝脾破裂患者进行诊断,能够获得准确的诊断结果,对于肝破裂的诊断准确率为100.0%,对于脾破裂的诊断准确率为100.0%。结论对于闭合性肝脾破裂患者采取B超进行诊断,具有高准确性、可行性、科学性,因此值得在临床上进行推广与应用。     

外伤性脾破裂的治疗方法选择及护理

目的 探讨外伤性脾破裂患者的治疗方法选择及护理,资料与治疗.方法 收集2002年3月至2011年3月我院收治的外伤性脾破裂患者52例,均符合脾破裂诊断标准.脾损伤程度为I级的患者6例,选择非手术治疗;脾损伤程度为II一Ⅳ级患者46例,选择手术治疗.护理体会介绍外伤性脾破裂伴失血性休克患者的常规护理及术前、术中、术后护理.结论 脾破裂一经确诊,应尽早,尽快制定治疗方案及相应临床护理计划.针对不同病情选择恰当的治疗方案及护理措施,确保患者生命安全,促进康复.     

外伤性肝脾损伤急救手术的护理配合

目的探讨外伤性肝脾损伤急救手术的护理配合措施及临床意义。方法选取我院2010年1月—2013年6月56例外伤性肝脾损伤患者为观察研究对象,分析临床手术的相关护理配合措施,指导临床急诊手术护理实践。结果 56例外伤性肝脾损伤患者均进行急救手术治疗,肝脏损伤手术以修补为主,脾脏损伤以切除为主,在综合性的护理配合4周后,22例治愈,32例好转,2例死亡,术后3例发热,1例切口感染,均经及时对症处理治愈。结论急救手术的综合护理能为患者赢得救治时间,保证手术完整安全进行,有效减少并发症和死亡率,具有积极的临床价值     

吸烟与儿童青少年健康

吸烟对儿童青少年健康的危害是多方面的,可以影响到多个系统,不仅增加了患呼吸系统疾病的危险性,影响其生长发育,而且还与儿童青少年的智力发育密切相关,增加了某些行为问题的发生率.目前世界上许多国家都已采用了多渠道、多层面的综合措施来控制烟草对儿童青少年的危害.     

MALNUTRITION AND PHYSICAL AND MENTAL DEVELOPMENT

In a study conducted during the, past five years in urban America, results suggest that. malnutrition during early infancy will retard physical and intellectual development.     

ILEOSTOMY AND FLUID AND ELECTROLYTE LOSSES

The proper establishment of a permenent ileal stoma should present no unusual fluid or electrolyte problems incompatible with normal recovery after major surgery.     

CI与医院营销

通过对CI和医院营销的基本概念及二者的相互关系的简述,阐述了CI是搞好医院营销的前提和保障,强调医院形象及品牌对医院创造服务对象价值的重要性。并导入了一个新的概念——医院内部营销。医院要搞好营销,就必须将广告宣传和内部营销有机地结合起来,取得事半功倍的效果。     

THE WEIGHT OF KNOWLEDGE: TEACHERS AND STUDENTS AND DOCTORS AND PATIENTS

This paper examines one particular problem in medical education: the rapid accumulation of technical medical knowledge. It is suggested that this development contributes significantly to several major deficiencies in training for clinical practice: it encourages a passive learning model, it helps to undervalue consultation skills and it inappropriately increases the student's anxiety in “not knowing all the facts.” In addition, the emphasis on technical knowledge helps to narrow the focus of attention to technical details at the expense of essential information on the patient's relationships and environment. Knowledge will continue to accumulate; a number of suggestions are made to ameliorate some of the harmful effects of this accumulation on teaching and learning in medical school. They include more emphasis on the process of the consultation and on problem-solving skills learned experientially rather than mastery of facts. A further recommendation is made to re-evaluate what is the essential knowledge base so that greater weight is given to information about the patient's relationships, attitudes and beliefs. The paper concludes with an assessment of the major institutional constraints standing in the way of the educational reforms outlined and suggests some ways these could be overcome.     

乙型肝炎表面抗原、表面抗体共存与HBV-DNA的相互关系及其临床意义

[目的]探讨HBsAg和抗-HBs共存表型的临床意义. [方法]83例HBsAg和抗-HBs共存表型,根据抗原和抗体含量分A、B、C、D群,并且对此4群进行HBV-DNA分析,根据肝炎诊断标准进行分型,肝功能状态进行分析. [结果]83例HBsAg和抗-HBs共存病例中A群占7.2%HBV-DNA捡出率3.6%,B群占84,3%HBV-DNA检出率48.2%,C群占1%未检出HBV-DNA,D群占7.2%HBV-DNA检出率1.2%;无症状慢性携带者13例、慢性肝炎30例、肝硬化12例、肝癌28例;AST、ALT、T-BiL正常分别为55.4%、57.8%、44.6%,抗原量高的B群一半以上肝功能异常. [结论]HBsAg和抗-HBs共存表型中B群HBV-DNA检出率最高,肝功能异常一半以上,肝癌发生率最高.     

SEROTONIN AND AGGRESSION AND THE ALCOHOL-AGGRESSION RELATIONSHIP

The consumption of an intoxicating dose of alcohol increasesthe likelihood of violent behaviour. Three possible mechanismsinvolving potentiation, inhibition, and disorganization of behaviourare presented. The manner in which these three effects may bemediated by serotonergic activity is briefly discussed. A moreextensive review of the serotonin-aggression relationship isthen presented.     

MORTALITY AND MORBIDITY RISKS AND ECONOMIC BEHAVIOR

There are theoretical reasons to expect that high risk of mortality or morbidity during young adulthood decreases investment in human capital. However, investigation of this hypothesis is complicated by a variety of empirical challenges, including difficulties in inferring causation due to omitted variables and reverse causation. For example, to compare two groups with substantially different mortality rates, one typically has to use samples from different countries or periods, making it difficult to control for other relevant variables. Reverse causation is important because human capital investment can affect mortality and morbidity. To counter these problems, we collected data on human capital investments, fertility decisions, and other economic choices of people at risk for Huntington's disease. Huntington's disease is a fatal genetic disorder that introduces a large and exogenous risk of early mortality and morbidity. We find a strong negative relation between mortality and morbidity risks and human capital investment. Copyright © 2012 John Wiley & Sons, Ltd.