血液加庆大霉素湿敷配合红外线照射治疗重度褥疮1例

褥疮是临床上常见的严重的并发症之一,不仅影响着患者主要疾病的治疗效果,严重者可危及病人生命,特别是糖尿病患者,一旦发生褥疮,不易愈合且易并发感染.作者用新鲜血液加庆大霉素湿敷配合红外线照射治疗糖尿病并发重度褥疮1例取得了良好效果,现介绍如下.     

血液加庆大霉素湿敷配合红外线照射治疗重度褥疮1例

褥疮是临床上常见的严重的并发症之一 ,不仅影响着患者主要疾病的治疗效果 ,严重者可危及病人生命 ,特别是糖尿病患者 ,一旦发生褥疮 ,不易愈合且易并发感染。作者用新鲜血液加庆大霉素湿敷配合红外线照射治疗糖尿病并发重度褥疮 1例取得了良好效果 ,现介绍如下。1　病例介绍患     

褥疮膏治疗重度褥疮96例

<正>褥疮(又名压迫性溃疡)是由于营养血供与机体组织发生血流障碍的末期结果,为骨骼隆突与长期硬面之间压迫软组织时,渐渐产生局部性区域内的细胞坏死。昏迷及瘫痪病人由于长期卧床,局部     

自制奇星水治疗重度褥疮1例报道

2002年11月,我科收治了1例脊髓动静脉畸形术后引发的多处大面积深Ⅲ度褥疮患者,经采用祖传秘方配制的“奇星水”治疗,效果满意,现报道如下。1病历介绍患者男,69岁,2002年8月行“脊髓动静脉畸形及栓塞术”,术后患者脐平面以下感觉、运动功能丧失,双下肢完全性瘫痪,大小便失禁。出院后患者骶尾部及双臀部出现4处重度褥疮,2002年11月慕名到我科住院治疗褥疮。入院时体温37.7~38.4℃,4处褥疮为深Ⅲ度,面积分别为:10cm×9.5cm(深达骨膜),2.8cm×3.3cm,4.8cm×6.5cm,7.5cm×8.2cm。创面均有大量淡绿色脓性分泌物渗出,伴有腥臭味,骶尾部、臀部皮肤…     

17例重度褥疮的治疗

褥疮是身体局部组织长期受压、血液循环障碍所致,Ⅲ期、Ⅳ期褥疮常伴有局部感染,如不及时治疗,有可能继发全身感染,延长病程,增加病人的痛苦及经济负担。我科自1998年以来对17例Ⅲ期、Ⅳ期褥疮病人进行治疗,现将治疗结果总结如下。1　临床资料本组17例,男9例,女8例,年龄最...     

1例大面积重度褥疮的护理

1998年6～10月,我科成功地护理了1例骶尾部及髋部6处重度大面积褥疮的病人,现将护理方法及体会报告如下。     

褥疮1号治疗褥疮1 38例报告

1995年以来,我院采用自制的"褥疮1号"治疗Ⅱ期以上褥疮138例,效果满意.现报告如下.     

胰岛素加山莨菪碱湿敷治疗糖尿病重度褥疮的疗效初探

[目的]探讨糖尿病合并重度褥疮的治疗新方法。[方法]糖尿病合并重度褥疮病人38例,共计有Ⅲ期~Ⅳ期褥疮60处,根据同一病人,不同部位、面积的大小,随机分为观察组和对照组各30处,观察组用胰岛素加山莨菪碱局部湿敷,对照组采用常规换药治疗。[结果]观察组治愈率高于对照组(P<0.01),治愈时间明显小于对照组(P<0.01)。[结论]本组胰岛素加山莨菪碱局部湿敷用于治疗糖尿病合并重度褥疮疗效显著,是治疗糖尿病合并褥疮的较佳方法。     

褥疮1号治疗褥疮138例报告

1995年以来,我院采用自制的“褥疮1号”治疗Π期以上褥疮138例,效果满意。现报告如下。1临床资料本组门诊22例,住院前带入者44例,住院期间发生6例,社会家庭病床42例,其他周围医院24例,男73例,女65例,48~92岁。患者在治疗前疮面直径1~30cm,浅度溃疡期68例,深度溃疡期38例,有骨膜损伤者18例,有骨质坏死,脱失者14例,兼脑病偏瘫患者122例,全身瘫痪2例,截瘫6例,植物人2例,其他6例,其中合并糖尿病患者87例。2方法2.1药物配制处方:乳香20g、没药50g、黄莲50g、黄柏60g、黄苓50g、白芷60g、连翘60g、珍珠粉40g、血竭40g、鼠肉油500g、麻油1000g、紫…     

VSD治疗重度褥疮15例的护理

我科在2008-05-2010-10对所收治的重度褥疮患者应用创面封闭式负压引流术(vacuum sealing drainage,VSD)治疗,取得满意效果,现报告如下。1临床资料1.1一般资料患者15例,男9例,女6例,年龄29~83(平均61.50)岁。均为外伤性的截瘫并发褥疮。褥疮分度:7例Ⅲ度褥疮(浅溃疡),8例Ⅳ度褥疮(深溃疡),均为骶尾部褥疮,褥     

冰片、生姜治疗静脉炎

临床药物治疗过程中 ,往往由于长期静脉给药的化学刺激、物理刺激及无菌操作不严格等因素 ,致使局部发生静脉炎 ,增加了病人的痛苦[1,2 ] 。笔者采用冰片、生姜局部外敷 ,收到了良好的治疗效果。现介绍如下。1　方法将鲜生姜洗净、晾干 ,取 15g～ 3 0 g ,加冰片细粉末 10 g～15 g ,捣成泥状 ,搅拌均匀 ,然后用双层纱布包裹 ,四周向内折叠 ,置于患处 ,治疗面积大小应与局部炎症累及的范围相一致 ,每日治疗 1次～ 2次。局部贴敷 0 .5h～ 1h后疼痛减轻 ,一般1d～ 4d治愈 ,无不良反应发生 ,有效率达 10 0 %。2　讨论冰片辛、苦、温和 ,具有止痛…     

Use of an Impedance Threshold Device to Treat Severe Hypotension in a Pregnant Woman: Case Report and Review of the Literature

Background

Impedance threshold device technology harnesses the patient's normal physiological mechanisms to increase circulation during hypotensive crises. We report the first clinical use of one version of this device on a spontaneously breathing hypotensive pregnant woman.

Objective

The objective of our study was to report this case to help Emergency Medical Service rescue personnel to noninvasively treat hypotensive but conscious spontaneously breathing patients.

Case Report

A 28-year-old woman who was 21 weeks pregnant developed frank syncope at home but recovered spontaneously. When Emergency Medical Service paramedics arrived, her initial blood pressure and heart rate were 115/80 mm Hg and 125 beats/min, respectively. She suddenly complained of feeling anxious and developed profound bradycardia and hypotension, followed by 20 s of asystole. An impedance threshold device (ResQGARD^TM) with −7 cmH₂O resistance to inspiration was rapidly applied using a facemask. After four spontaneous breaths, blood pressure increased from 62/40 mm Hg to 106/66 mm Hg. She was hemodynamically stable thereafter.

Conclusions

In this case report, the multiple physiological effects of inspiration through −7 cmH₂O resistance helped this pregnant hypotensive patient to rapidly and noninvasively restore adequate perfusion and reduced the duration of her hypotensive episode. To our knowledge, this is the first report of this technology in a pregnant hypotensive but spontaneously breathing patient.     

Severe Methemoglobinemia Linked to Gel-Type Topical Benzocaine Use: A Case Report

Background: Methemoglobinemia is an uncommon cause of tissue hypoxia, but it can be life threatening if it is not identified and treated promptly. Objectives: To highlight the importance of understanding the potential risks of over-the-counter medications, especially in unsupervised use. Topical benzocaine must be used with caution, even in the healthy population. Case report: We report a case of methemoglobinemia secondary to topical benzocaine gel. A 6-year-old boy presented to our Pediatric Emergency Department with cyanosis, vomiting, and lethargy after using a gel-type, 7.5% benzocaine (Baby Orajel®) for a toothache. Physical examination revealed dusky blue skin, tachycardia, tachypnea, and a normal neurologic examination. His percutaneous oxygen saturation remained 77–83% despite the administration of 100% oxygen. His arterial blood sample had a dark chocolate color appearance, and methemoglobinemia was suspected. His methemoglobin level was 69.9%, which is considered a lethal level. After a single dose of methylene blue (1 mg/kg/dose), cyanosis was reduced and oxygenation improved. Conclusion: Over-the-counter topical benzocaine should be used with caution, and the presence of methemoglobinemia must be promptly identified and treated.     

The Use of Lumbar Harness Traction to Treat a Patient with Lumbar Radicular Pain: A Case Report

Abstract

The purpose of this case study is to describe an intervention using standing lumbar harness traction to treat a patient with lumbar radicular pain. A 60-year-old male presented with a 3 month history of right buttock and posterior thigh pain. The patient had positive unilateral straight leg raise and slump tests, and ankle evertor weakness. He exhibited symptom alleviation with lumbar deloading tests. His main functional limitation was difficulty sitting. The patient was seen for five visits. Initial intervention included standing harness traction. The patient's status, including neurological signs and symptoms, was monitored. Passive psoas stretching and instruction in self-stretch for psoas, gastrocnemius, and soleus was later included. Functional instruction and training in body mechanics and back care was carried out prior to discharge. Harness traction reduced neurological signs and radicular pain in this patient. He exhibited good functional recovery after five visits. Harness traction intervention should be considered in patients with complaints of low back and leg pain who exhibit symptom alleviation with lumbar deloading tests.     

次碳酸铋辅助治疗Ⅱ期和Ⅲ期褥疮7例

褥疮多见于久卧不起、危重症及全身衰竭病人。我科现采用收敛、抗菌药物配合红外线照射等综合治疗Ⅱ期、Ⅲ期褥疮 ,疗效显著。现报告如下。1　临床资料及方法1.1　一般资料　本组共 7例 ,其中男 5例、女 2例。年龄最大的 72岁 ,最小的 3 6岁。均有Ⅱ期、Ⅲ期褥疮 ,其中 2例为多     

湿润烧伤膏治疗老年糖尿病褥疮的效果观察

褥疮是糖尿病 (ＤＭ )临床上常见的并发症之一 ,也是老年医学领域的治疗难题。我科自 1999年 2月— 2 0 0 2年 2月应用湿润烧伤膏 (ＭＥＢＯ )治疗老年糖尿病褥疮 2 2例 ,临床疗效满意 ,现报告如下。1　资料与方法1.1　临床资料　本组 44例ＤＭ褥疮 ,均为院外带入的 2型ＤＭ病人。按 1997年ＡＤＡ (ＤＭ诊断标准 )确诊。其中男 2 6例 ,女 18例 ;年龄 60岁～ 92岁 ,平均 69.3岁 ;ＤＭ并发脑梗死2 6例 ,脑出血 2例 ,截瘫 6例 ,骨盆骨折 4例 ,股骨颈骨折及双下肢粉碎性骨折术后 2例 ,其他 4例。空腹血糖值8.3ｍｍｏｌ Ｌ～ 5 2 .2ｍｍｏｌ Ｌ。…     

分解床在预防褥疮中的应用

分解床在预防褥疮中的应用ＵｓｅｏｆＤｉｓａｓｓｅｍｂｌｅＢｅｄｔｏＰｒｅｖｅｎｔｔｈｅＤｅｃｕｂｉｔｕｓＵｌｃｅｒ林小萍张文兰ＬｉｎＸｉａｏｐｉｎｇ，ＺｈａｎｇＷｅｎｌａｎ（ＬｏｎｇｙａｎＰｅｏｐｌｅ’ｓＨｏｓｐｉｔａｌ，Ｆｕｊｉａｎ３６４０００Ｃ...     

临床罕见的卵巢重度水肿一例报告并文献复习

目的:探讨卵巢重度水肿的病因、临床病理特点、鉴别诊断及治疗方法,以提高早期诊断率.方法:报告1例卵巢重度水肿.结合相关文献进行复习.结果:本例表现为月经周期延长、停经及盆腔肿物.妇科及B超检查发现子宫左后方肿物.血睾酮12.59 nmoL/L,孕酮8.18 nmoL/L,均高于正常参考值.临床诊断为左侧卵巢肿瘤,行手术治疗.术后病理诊断:左侧卵巢重度水肿.结论:卵巢重度水肿多发生于年轻妇女及青少年,偶见于绝经后妇女.主要表现为蒂扭转、急腹症、卵巢破裂和男性化体征.该病临床非常少见,术前确诊困难,MRI检查可辅助诊断,但最终确诊需依据病理诊断.治疗方法则依病情而定.     

亚低温治疗重型颅脑损伤的临床应用进展

亚低温能显著减轻脑外伤后的脑损害 ,促进其神经功能恢复 ,且具有疗效确切、无任何严重并发症、操作简便、易于推广应用的优点[1] 。研究表明 :亚低温通过对脑能量代谢、兴奋性氨基酸的释放、Ｃａ2 + 水平及其靶酶活性、自由基产生等多种机制影响产生脑保护作用[2 ] ,有效降低重型颅脑损伤的病死率和致残率 ,提高生存率。因而有些医院的神经外科已将亚低温治疗列为重型脑损伤的治疗常规[3 ] 。现将亚低温治疗重型颅脑损伤的进展综述如下。1　亚低温的概念低温治疗分深低温 (10℃～ 2 5℃ )、中低温 (2 6℃～ 3 3℃ )和轻低温 (3 4℃～ 3 5℃…     

小剂量奋乃静治疗老年痴呆精神病性症状的临床观察

目的探讨小剂量奋乃静(2～6mg)治疗老年痴呆精神病性症状的临床疗效和安全性。方法对31例老年痴呆(阿尔茨海默病和血管性痴呆)伴精神病性症状患者在常规治疗的基础上加用小剂量奋乃静治疗。分别采用老年临床评定量表(SCAG)评定疗效,副反应量表(TESS)评定药物不良反应。结果治疗第8周末显著进步2例,进步22例,无效7例,不良反应轻微。结论小剂量奋乃静治疗老年痴呆精神病性症状安全、有效。