40例老年急性肾功能衰竭的临床分析

由于老年人肾脏的解剖生理变化导致应变能力的相应下降，易发生急性肾功能衰竭（ARF）。我院自2000年开展血液透析治疗以来，提高了对老年ARF的治愈好转率。笔者收集院1998年1月～2005年1月老年ARF病例40例进行临床分析，报道如下：     

尿道下裂成形术后并发症的临床分析

Objectives To study and analyze the cauge,rate and treatment for complications of hypospadi - as repair operations.Methods In the past 3 years,there were 19 patients with complications of hypospedias repair for 117 cases single - stage urethmplasty.The ages were from 1.5 to 24 years old,the mean Was 4.6.The classifica - tions were glans of penis 10,body of penis 5,serious hypospedias 4,includingpenoscrota,scrotal andperineal.The lengths of new urethras were from 1.2 to 4.4 cm,the mean was 2.6 cm.Results The rate of complications was 15.9%for 1～3 years following survey.There were urethral fistulas 11 cases(57.9%),urethral strictures 4(21.1%),diverticulumsl(5.3%),withdrawal of meatus 1(5.3%),chordees 1(5.3%),seriouS abnomal apperance of penis 1 cases(5.3%).The rate of urethral fistulas was the first and urethral stricture the second,they were higher than other complications signiflcantly(P相似文献   

护理管理在临床带教方面的应用

临床实践在很大程度上影响整个护理教育的效果。如何培养临床实习生的综合能力，如何帮助她们理论联系实际并完成角色转变，是临床带教老师必须解决的问题。PDCA循环管理方法于20世纪50年代由美国管理学家戴明提出，按计划（P）、执行或实施（D）、检查（C）和处理（A）的原理，进行具有大环扣小环、螺旋式上升循环特点的管理过程，     

自制小儿颈外动静脉穿刺架

小儿颈外动、静脉穿刺是儿科最常见、最基础的一项护理操作,临床工作中,由于固定不牢,小儿头部角度不适,患儿哭闹,操作时间长,影响穿刺成功率,穿刺后有些患儿颈面部出现出血点.我院于2002年5月开始研制小儿颈外动、静脉穿刺架并应用于临床,取得满意效果.     

儿童非器质性眩晕

儿童眩晕属常见病，引起儿童眩晕的原因较多，如各种内耳病、颅内新生物和若干全身性疾病等。在耳科较常见的是一种反复发作的非器质性眩晕，这类儿童来就诊时多已为学龄儿童，在紧张劳累后容易发作眩晕，如考试、感染、烈日下活动、看电视过久、休息或睡眠不足、气候骤变等常成为诱发眩晕的原因。这类眩晕具有外周性眩晕的特点，发作多较快，不能保持平衡，伴眼震及恶心、苍白、手足发凉、唾液增多等自主神经系统症状和体征。有部分患儿在眩晕前和（或）发作时感一侧或双侧颞部、眶部或顶枕部头痛。     

尿道下裂成形术后并发症的临床分析

Objectives To study and analyze the cauge,rate and treatment for complications of hypospadi - as repair operations.Methods In the past 3 years,there were 19 patients with complications of hypospedias repair for 117 cases single - stage urethmplasty.The ages were from 1.5 to 24 years old,the mean Was 4.6.The classifica - tions were glans of penis 10,body of penis 5,serious hypospedias 4,includingpenoscrota,scrotal andperineal.The lengths of new urethras were from 1.2 to 4.4 cm,the mean was 2.6 cm.Results The rate of complications was 15.9%for 1～3 years following survey.There were urethral fistulas 11 cases(57.9%),urethral strictures 4(21.1%),diverticulumsl(5.3%),withdrawal of meatus 1(5.3%),chordees 1(5.3%),seriouS abnomal apperance of penis 1 cases(5.3%).The rate of urethral fistulas was the first and urethral stricture the second,they were higher than other complications signiflcantly(P相似文献   

胰肠吻合方式与胰漏（附31例报告）

目的:探讨胰十二指肠切除术胰漏的原因，预防方法。方法:对2002年以后胰十二指肠切除患者，改变胰肠吻合方式，重视吻合端腔内引流，早期使用生长抑素情况分析。结果胰瘘发生率明显降低。结论:要降低胰十二指肠切除术后胰瘘的发生率，关键在于吻合方法的改进，良好的手术技巧，吻合口肠袢内的引流减压，早期使用生长抑素。     

求医问药

人参蜂王浆是上等的滋补品。近年来,服用的人越来越多,在年龄、体质、目的等各方面发生了很大的变化。人参有增加机体抵抗力、促进新陈代谢、增进食欲的功效;蜂王浆有滋补强壮、益肝健脾的功效,两者合二为一,疗效更佳。