脑静脉窦血栓20例临床观察与护理

目的:探讨脑静脉窦血栓形成的早期临床特点。方法:回顾性分析20例CVST患者的发病情况、临床表现、影像学特征及脑脊液等检查结果。结果:①年龄多在20~40岁;多数为急性起病;首发症状多为头痛伴或不伴癫痫发作、局灶性颅神经症状及视力障碍;②影像学表现为静脉窦闭塞及局限性梗死灶伴或不伴有出血;③脑脊液压力明显升高,白细胞及蛋白含量基本正常(感染性CVST除外)。结论:对临床急性起病的头痛伴或不伴癫痫发作及局灶性神经功能的年轻患者应高度怀疑CVST,及时行MRI及MRA或DSA联合检查。     

成人体外心肺复苏的现状及展望

体外心肺复苏是难治性心脏骤停（CA）患者重要的治疗手段，能够改善心脏骤停患者的预后，近年来发展迅速， 然而国内外体外心肺复苏技术发展不均衡，大部分医疗机构仍处于起步阶段。体外心肺复苏技术需要多学科协作完 成。随着体外心肺复苏技术的发展，妊娠、创伤、主动脉夹层的CA患者使用体外心肺复苏技术也可能获得良好预 后。成人体外心肺复苏技术的应用前景广阔。     

英军联合作战医疗后送实施原则与保障特点

世界安全环境的变化,使得英国及其盟国应对危机的方式也发生变化。为适应联合作战的需求,英国在1996年成立了常设联合司令部,负责英军和英军领导的多国军队联合作战行动的指挥和控制;1998年又设立了联合特遣部队司令部,形成了＂国防参谋部-常设联合司令部-联合特遣部队司令部”的三级指挥体制，逐步取消了各军种司令部的作战指挥权。常设联合司令部的医疗总参谋长副助理负责英军联合行动中卫勤方面的计划和指挥。     

一例格林巴利综合征患者应用T型管快速撤机的护理对策

格林巴利综合征（Guil｜ian—Barre Sgndrome，以下简称GBS）是一种急性起病、以周围神经及脑神经损害伴脑脊液中蛋白和细胞分离为特征的综合征。本病的首发症状是四肢急性、对称性、迟缓性瘫痪，最严重的是累及肋间肌和膈肌可致呼吸肌麻痹、呼吸困难。呼吸肌麻痹引起的通气障碍性呼吸衰竭是GBS致死的主要原因，采用机械通气保证足够的肺泡通气、纠正缺氧足急性期治疗的首要任务。     

肾移植术后感染新型冠状病毒1例

The novel coronavirus is a newly discovered pathogen in late December 2019, and its source is currently unknown, which can lead to asymptomatic infection, new coronavirus pneumonia or serious complications, such as acute respiratory failure. Corona virus disease 2019 (COVID-19) is a new type of respiratory disease that is currently spreading all over the world and caused by this coronavirus. Its common symptoms are highly similar to those of other viruses, such as fever, cough and dyspnea. There is currently no vaccine or treatment for COVID-19. Everyone is susceptible to infection with this disease, and owing to the long-term use of immunosuppressants, the immunity of kidney transplant recipients is suppressed, and it is more likely to be infected with the disease. At present, its impact on kidney transplant recipients is unclear. This article reports the clinical features and therapeutic course of novel coronavirus infection in a patient after renal transplantation. A 37-year-old female patient who received a kidney transplant 6 months before was diagnosed with novel coronavirus pneumonia. The patient’s symptoms (such as fever, chills, dry cough, muscle aches), laboratory tests (such as decreased white blood cell count, elevated liver enzymes and D-dimer, positive viral nucleic acid test), and chest CT (multiple left lower lung plaque ground glass shadow) were similar to those of non-transplanted novel coronavirus pneumonia patients. In terms of treatment, because the immunity of kidney transplant recipients has been suppressed for a long time, it is a very common strategy to suspend the use of immunosuppressive agents. Therefore, the patient immediately discontinued the immunosuppressive agent after admission, so that she could restore immunity against infection in a short time. At the same time, the use of glucocorticoids was also very important. Its immunosuppressive and anti-inflammatory effects played a large role in the treatment process.In addition, prophylactic antibiotics was needed, and nephrotoxic drugs should be used with caution. Finally, following discounting the use of immunosuppressant and a low-dose glucocorticoid-based treatment regimen, COVID-19 in this renal transplant recipient was successfully cured. The cure of this case was of great significance, and this adjuvant nonspecific antiviral therapy could provide a template for the treatment of other such patients.     

军队健康管理的内涵演化与现实意义

通过分析美军健康管理思想的演变路径,探究军队健康管理思想的形成动因。在阐述军队健康管理的定义、任务和目标的基础上,强调了当前加强军队健康管理的现实意义。     

脑静脉窦血栓20例临床观察与护理

目的探讨脑静脉窦血栓形成的早期临床特点.方法回顾性分析20例CVST患者的发病情况、临床表现、影像学特征及脑脊液等检查结果.结果①年龄多在20～40岁;多数为急性起病;首发症状多为头痛伴或不伴癫痫发作、局灶性颅神经症状及视力障碍;②影像学表现为静脉窦闭塞及局限性梗死灶伴或不伴有出血;③脑脊液压力明显升高,白细胞及蛋白含量基本正常(感染性CVST除外).结论对临床急性起病的头痛伴或不伴癫痫发作及局灶性神经功能的年轻患者应高度怀疑CVST,及时行MRI及MRA或DSA联合检查.     

中药相须配伍治疗中风体会

中风又名卒中,症见多端,变化迅速.轻者仅表现为单侧肢体麻木不仁,口眼歪斜或肢体活动障碍.重则突然昏扑,甚则在几个小时或几天内死亡.笔者应用中药相须配伍治疗中风,效果确切,介绍如下.     

澳大利亚军人职业健康和安全战略及其启示

文章介绍了澳大利亚<军人职业健康和安全战略>出台的背景、战略愿景、主要措施和计划,在此基础上总结澳大利亚军人职业健康和安全战略的基本特点与经验,并结合我军的实际情况提出初步设想.     

人工生物材料修复肌腱急性损伤及预防粘连

背景：肌腱损伤后的治疗措施经历了传统物理疗法、药物疗法以及现代组织工程学人工韧带的重建等漫长过程。 目的：综述人工生物材料干预治疗肌腱粘连的措施,并探讨肌腱治疗过程中粘连的发生机制。 方法：应用计算机检索万方、维普数据库和PubMed数据库中1990-01/2011-04与肌腱康复措施及材料学相关的文章,在标题和摘要中以“肌腱,治疗,材料,粘连”或“tendon,treatment,materials,adhesion”为检索词进行检索。选择文章内容与肌腱治疗材料学相关,同一领域文献则选择近期发表或发表在权威杂志文章。初检得到287篇文献,根据纳入标准选择21篇文章进行综述。 结果与结论：人工韧带的重建与再生为严重的肌腱治疗与康复提供了可能和保障,但理想人工韧带材料的选择和研制成为治疗的关键,合成材料可以避免单一材料性能的不足,为材料的研制提供了广阔的发展空间,目前,基因治疗技术的发展也为肌腱组织工程技术提供了崭新的研究方向。另外,肌腱在治疗康复过程中往往发生粘连,严重影响着治疗效果,肌腱粘连与肌腱愈合的特点及其生理和病理有重要关系,采用生物材料作为预防粘连隔离物具有广阔的发展前景。