外用高浓度高锰酸钾液治疗带状疱疹的体会

将１ｇ高锰酸钾（ＰＰ）加１～２ｍｌ注射用水配制成外用液，涂擦于带状疱疹患处１～３次即愈，用药后涂擦处略有灼热感，数分钟后缓解或消失，显效率９８％～１００％。     

广东省梅县重点人群碘营养状况调查分析

Objective To estimate the present salt iodine content and iodine nutrition need of high risk population of iodine deficiency disorder in Meixian County. Methods Each primary school was selected from urban and rural areas(Xiyang Town, 20 kilometers away from Meixian County), the goiter rate of 8 to 10 year-old students was examined and urinary iodine and household salt iodine was sampled. Twenty to 40 year-old women of childbearing age nearby schools around the urban and villages around Xiyang Town were selected to collect their urine and salt samples. At urban hospitals and rural health centers, 0 to 2 year-old infant urine samples were collected, Thyroid gland was palpated and urinary iodine was determined by iodine in urine by As3+-Ce4+catalytic spectrophotometry, salt iodine was determined by direct titration. Results The goiter rates of 8 to 10 year-old students were 1.5 % (3/200), 1.0% (1/100) for the urban area and 2.0% (2/100) for rural area. Median of urinary iodine in 8 to 10 year-old students, infants, women of childbearing age averaged at 237.1 μg/L and 280.1, 234.7,187.6 μg/L respectively, with each being 287.4,245.0,205.5 μg/L in urban area and 278.9,228.5,176.4 μg/L in rural area. Women of childbearing age had a higher percentage of urinary iodine < 50.0 μg/L than students,students had a higher percentage than infants, each being 7.5%(15/200), 4.5%(9/200), 4.0%(4/100). The ration of urinary iodine > 300.0 μg/L was more in infants than in students, that in students was more than that in women of childbearing age, each being 33.0% (33/100), 30.0% (60/200),22.5% (45/200). The median of salt iodine was 27.2 mg/kg. The coverage of iodized salt was 100.0%(400/400). Ninty-seven percent(194/200) and 96.0% (192/200) of qualified iodized salt were consumed in urban area and in rural area. Conclusions The amount of iodine added to salt meets the requirement in the 3 kinds population risk of iodine deficiency disorder. But a higher iodine status has been found out in students and infants. It is reasonable to decrease the present salt iodine content.     

抗-M引起的交叉配血不合

<正>MNS血型系统是继ABO血型系统之后第二个被发现的血型系统。MNS血型抗原主要存在于红细胞膜上的一类糖蛋白(称为血型糖蛋白)抗原,该类抗原对应的抗体在临床上引起交叉配血不合及输血反应的情况并不常见。在我院近期发现了一例由于患者血清中存在抗-M抗体而引起交叉配血不合的病例,现报告如下。     

结核性脑膜炎并发颅内多发性结核瘤一例

患者女，20岁。因发热、头痛、恶心、呕吐伴视物不清1周，于1998年9月20日收入院。既往有结核性脑膜炎病史3月。查体T37．5℃，P80次／分，R20次／分，BP16／10ffe。神志清精神差，语言欠流利，双眼底视乳头边界不清，中心凹陷消失，余颅神经阴性。颈部有抵抗感，四肢肌力可，肌张力及健反射正常，双巴氏征（＋），克氏征（＋），闭目难立征（＋）。辅助检查：胸透正常，ECG正常，腰穿脑脊液清晰透明，潘氏试验（＋），WBC18Xl炉／L，糖2．3mrnoUL，蛋白455twL，氯化物96InlnoUL，颅内压2．74ldhl，颅脑CY及强化结果示结核性脑膜炎…     

阳和汤加减辅助治疗阳虚寒凝型脑梗死33例疗效观察

2001年5月～2010年7月，我们采用阳和汤加减辅助治疗脑梗死患者33例，效果满意。现报告如下。     

住院一日清单与心理护理探讨

我院从2005年开始执行住院一日清单制度,深受患者好评,现就体会介绍如下。1抓住时机患者在入院前和入院时心理困惑较大,想的事情较多,医疗费用问题占很大的比例,这时就需要护理人员在进行入院宣教时不失时机的进行一日清单的讲解,护士和患者及家属的沟通要从多方面进行,针对不同的患者采取不同的沟通方式,突出的介绍一日清单和医疗费用的关系,消除患者的疑虑,安心愉快的接受治疗和护理。2让一日清单真正做到一日一清看病难、看病贵,已经是全社会的一个焦点问题,少花钱、看好病、明明白白消费是患者对医院的期待。这就要求护理人员严格遵守一日清单制,决不流于形式,彻底消除患者和家属的疑虑,对医护人员产生信任感,更好地配合治疗和护理,达到早日康复的目的。3消除医护患之间的纠纷[1]由于某些医疗机构和某些医护人员的不正之风,使患者和家属对医院和医护人员失去信任,对所发生的费用很容易产生怀疑,极易发生医护患之间的矛盾,通过执行一日清单制度,能让患者和家属心里有数,对所发生的费用认可,减少或消除了产生矛盾和纠纷的因素,使医护患关系更加和谐。4严格执行一日清单制度[2]要设置合理的时间段每日定时给患者打印一日清单,清单要清晰易懂,起止时间明确,要...     

卵巢黏液性囊腺瘤伴腹膜假黏液瘤一例临床报告

1 临床资料 患者，女，36岁。因右下腹痛3天，于2008年6月11日入院。体检：右下腹部触及一约5．0cm×5．0cm大小包块，边界清，活动度可，质稍硬，伴压痛。B超示：右卵巢见一约5．2cm×5．Ocm囊性包块，边界较清。     

抗-P_1引起交叉配血不合一例分析

<正>P血型系统是第3个被发现的人类红细胞血型系统,包括P、P(k)、P1三种抗原,抗原的不同缺失组合形成5种不同的表现型:P1、P2、P1(k)、P2(k)、P。除P1表型完全表达所有三种抗原,不含相应抗体外,其他四种表型的个体体内都存在针     

高学历护生临床应如何带教的探讨

目的:是培养高层次高能力热爱护理专业的高级护理人才.方法:104名高学历护生采取多层面互动式带教并与148名中专护生传统式带教资料对比.结果:104名高学历护生达标毕业就业率100%.结论:此临床带教方法切实可行,可以在临床推广交流.