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腹部带蒂皮瓣修复手外伤病人的心理问题及护理 总被引:1,自引:0,他引:1
[目的]探讨腹部带蒂皮瓣修复手外伤病人的心理护理。[方法]应用自行设计的问卷对40例腹部带蒂皮瓣修复手外伤病人存在的心理问题进行调查分析。[结果]多数病人出现不同程度的紧张、焦虑、恐惧等心理反应。[结论]手外伤修复病人给予针对性护理后能积极配合麻醉和手术。 相似文献
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[目的]探讨以手外伤为主的上肢外伤腹部带蒂皮瓣移植术的护理方法。[方法]回顾性分析27例外伤病人的临床资料。[结果]27例行腹部带蒂皮瓣移植术后皮瓣全部存活,伤口Ⅰ期愈合,均痊愈出院。[结论]精心的护理在腹部带蒂皮瓣移植术的整个过程至关重要,对减少术后并发症、术后康复、最大程度的恢复手功能均起到较好的促进作用。 相似文献
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腹部带蒂薄皮瓣修复手外伤患者的围手术期护理 总被引:1,自引:0,他引:1
目的:探讨腹部带蒂薄皮瓣修复手外伤患者的围手术期护理方法。方法:对27例手外伤患者的临床及护理资料进行分析。结果:27例患者中,除3例皮瓣色泽较差外,其余患者皮瓣色泽红,血运良好。结论:对腹部带蒂皮瓣修复手外伤患者进行围手术期护理,有助于患者早日康复。 相似文献
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腹部带蒂皮瓣修复手外伤的护理体会 总被引:3,自引:0,他引:3
目的:探讨腹部带蒂皮瓣移植修复手外伤的临床护理。方法:对121例手外伤应用腹部带蒂皮瓣修复术的患者术前充分准备,术后及时止痛,上肢包扎固定并制动,严密观察皮瓣血运情况,断蒂后伤肢指导正确的功能锻炼。结果:皮瓣成活率高,肢体功能恢复良好。结论:重视围手术期的观察和护理是皮瓣移植成功的有力保证,术后的康复训练是恢复功能的必要途径。 相似文献
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目的 分析手外伤患者应用腹部带蒂皮瓣修复术临床护理效果.方法 选择2019年3月—2020年3月该院行腹部带蒂皮瓣修复术手外伤患者97例,按随机数表分为两组,对照组48例予以常规护理,研究组49例使用综合护理,对两组护理效果进行比较.结果 研究组TAM、MMT、Barthel评分分别为(216.57±20.48)°、M... 相似文献
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[目的]探讨带蒂皮瓣移植术修复手外伤的临床护理。[方法]分析我科自2008年2月—2010年2月行带蒂皮瓣移植修复手部缺损的82例病人的护理,提出护理重点在于严密观察皮瓣血运、血管危象、维持有效血液循环、预防感染及正确的功能锻炼。[结果]皮瓣全部成活,4例皮瓣部分边缘愈合不佳。[结论]对82例带蒂皮瓣移植术病人的术前、术后的悉心护理,病人的手功能得到最大康复,疗效满意。 相似文献
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【】目的:探讨手外伤带蒂腹部皮瓣移植术的护理方法。方法:回顾性分析我院自2008年3月~2010年12月收治58例的手外伤实施带蒂腹部皮瓣移植术患者的临床资料,并对其积极的围手术期护理和相关康复训练指导。结果:本组58例患者实施手外伤带蒂腹部皮瓣移植术,有2例出现皮瓣部分坏死,经2期手术愈合良好,经精心护理、耐心的后期功能训练,皮瓣全部存活,平均住院时间为21d.所有患者经长期规范化的康复练习,均取得满意的效果.结论:对腹部带蒂皮瓣修复手外伤的患者进行正确的护理方法,可以提高皮瓣移植术的治疗效果,促进患者的功能恢复,提高生活质量。 相似文献
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[目的]探讨带蒂皮瓣移植术修复手外伤的临床护理。[方法]分析我科自2008年2月—2010年2月行带蒂皮瓣移植修复手部缺损的82例病人的护理,提出护理重点在于严密观察皮瓣血运、血管危象、维持有效血液循环、预防感染及正确的功能锻炼。[结果]皮瓣全部成活,4例皮瓣部分边缘愈合不佳。[结论]对82例带蒂皮瓣移植术病人的术前、术后的悉心护理,病人的手功能得到最大康复,疗效满意。 相似文献
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V A Bokisch 《Zeitschrift für Immunit?tsforschung, experimentelle und klinische Immunologie》1975,149(2-4):320-330
This report describes the interaction of peptidoglycan (Streptococcus group A, Staphylococcus epidermidis and Micrococcus lysodeikticus) with 2 serum mediator systems, namely with the anti-IgG system and with complement. The observation that the majority of rabbits hyperimmunized with A-variant streptococcal vaccine produced anti-group carbohydrate antisera containing anti-IgGs and antibodies directed to peptidoglycan suggested that the production of these 2 latter antibodies was related. This view was supported by the finding of a monoclonal 7S anti-IgG with antibody specificity for the pentapeptide of peptidoglycan as evidenced by inhibition of the coprecipitation of 7S anti-IgG with antigen-antibody complexes by the pentapeptide. Inhibition of the anti-idiotype reaction by the pentapeptide provided further evidence for the antibody specificity of 7S anti-IgG for peptidoglycan. When added to normal human sera all peptidoglycan preparations inhibited the hemolytic activity of the sera. Consumption of C3 in C2 deficient serum and consumption of C2 in normal serum indicated the activation of both known complement pathways. Activation of the classical pathway of complement was more efficient since 50 mug of peptidoglycan consumed approximately 70% of C2 per ml normal serum whereas more than 2 mg of the same preparations was required to inactivate 17-24% of C3 in C2 deficient sera. Each of the different peptidoglycan preparations consumed similar amounts of complement in all 20 sera tested. This finding suggested that activation of the classical complement pathway by peptidoglycan was not mediated by anti-peptidoglycan antibodies present in only 20-40% of normal human sera. 相似文献
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Objective To release the heroin addicts‘ sufferings,we made rapid opiate detoxification by injecting naloxine under the general anesthesia.Method 160 volunteers were divided at randon into two groups:Group A were performed under the combined anesthesia with propofol,midazolam and kelamine.Group B were performed under the combined anesthesia with propofol with midazolam and tramadol.The vital signs were recorded and the withdrawal syndrome of the volunteers were assessed during the whole process.Result All of the withdrawal symptoms scores 24 hours after ROD in group B were lower than its pre-treatment;The symptoms of the thirs,tsleeping disturbance,nausea and vomiting,skeletal muscular pains and anorexia scores in group A were also lower than its pre-treatment;and no too much differeence belween group A and group B.But tearing,anxiety and diarrhea scores in group A were almost the same as the pre-treatment and higher than group B.Both groups received of the naloxone treatment smoothly,and remained in the hospital for about 3 days.Conclusion The effect of rapid opiate detoxification of naltrexone with the ketamine or tramadol under anesthesia is obvious.The tramadol is better than others. 相似文献
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[目的]总结替吉奥联合亚叶酸钙及奥沙利铂治疗晚期结直肠癌病人的观察与护理。[方法]对25例无法手术切除的晚期结直肠癌病人采用替吉奥胶囊联合亚叶酸钙、奥沙利铂方案进行治疗,同时加强心理护理、毒副反应的观察与护理等。[结果]治疗过程中出现Ⅰ级和Ⅱ级神经毒性8例,恶心、呕吐、食欲下降12例,骨髓抑制5例,变态反应1例,经处理后均好转;1例病人死亡,其余病人均顺利进行治疗。[结论]加强替吉奥联合亚叶酸钙及奥沙利铂治疗晚期结直肠癌病人的护理,可保证治疗的顺利进行。 相似文献
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Toreleasetheseverewithdrawalsymptomsoftheheroinad-dicts,weinjecttheNaloxineinthegeneralanesthesia.160volun-teersreceivedRODwereperformedunderthecombinedanesthesiawithpropofol,midazolamandketamine.1Subjectsandmethods1.1Subjects160volunteerswhoaccordingwiththediagnosticstandardoftheICD-10abouttheopiate-addiction,male:145,fe-male15.Age:(30±6),theeldestwas45yearsold.Themeanbodyweightwasabout(58±8)kg.Educationalbackground:pri-maryschool118cases,juniorhighschool:24casesandseniorhighschool/seco… 相似文献
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扁桃体炎是儿童常见病、多发病,传统药物治疗可暂缓症状,但不能根治;手术治疗痛苦大、出血多、费用高,常合并有并发症。我科运用缩腺液治疗扁桃体炎3 0例收到了良好的效果。现报告如下。1 对象与方法1.1 对象 本科于2 0 0 2年—2 0 0 3年共收治扁桃体炎病人5 0例,年龄为7岁~2 0岁,分两组进行。缩腺液治疗组3 0例,男13例,女17例;其中重度12例,中度9例,轻度9例;对照组2 0例,男9例,女11例;其中重度8例,中度7例,轻度5例。两组病人年龄、性别、病情严重程度基本一致,差异无统计学意义(P >0 .0 5 )。1.2 方法 对照组采用药物治疗,静脉输注… 相似文献
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目的 通过分析艾滋病合并结核病及马尔尼菲青霉病患者的临床资料,提高对三病并存的护理认识.方法 分析并总结26例艾滋病合并结核病及马尔尼菲青霉病住院患者的临床特点、治疗及护理方法.结果 本组患者治愈5例,好转13例,死亡8例.存活患者随访6~30个月均未复发.结论 三病并存时临床表现复杂,无特异性,护理难度大,应仔细观察病情,及早诊治,精心护理,对改善预后有重要意义. 相似文献
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Comparison of platelet immunity in patients with SLE and with ITP 总被引:14,自引:0,他引:14
Idiopathic thrombocytopenic purpura (ITP) is characterized by the development of a specific anti-platelet autoantibody immune response mediating the development of thrombocytopenia. Systemic lupus erythematosus (SLE) is an autoimmune disease characterized by the production of a wide variety of autoantibodies. In 15-20% of SLE cases, patients develop thrombocytopenia which appears to be autoimmune in nature (SLE-TP). To better understand the pathogenesis of the thrombocytopenia associated with SLE, we investigated the overlapping platelet and cellular immune features between SLE and ITP. Thirty-one patients with SLE, eight with SLE-TP, and 17 with ITP, were studied and compared to 60 healthy controls. We evaluated platelet-associated IgG, platelet microparticles, reticulated platelets, platelet HLA-DR expression, in vivo cytokine levels, lymphocyte proliferation, and the T lymphocyte anti-platelet immune response in these patients. Patients with SLE-TP and those with ITP had increased platelet-associated IgG, an increased percentage of platelet microparticles, a higher percentage of reticulated platelets and larger platelets, suggesting antibody-mediated platelet destruction and increased platelet production. More than 50% of patients with ITP had increased HLA-DR on their platelet surface whereas subjects with SLE-TP did not. Analysis of serum cytokines demonstrated increased levels of IL-10, IL-15 and TNF-alpha in patients with SLE, but in those with ITP, only increased levels of IL-15 were seen, no increases in any of these cytokines were observed in patients with in SLE-TP. The ability of lymphocytes to proliferate in response to phorbol myristate acetate (PMA) stimulation was increased in SLE-TP, but was normal in both SLE and ITP. Lymphocytes from subjects with ITP displayed an increased ability to proliferate on exposure to platelets, in contrast, those with SLE-TP did not. While the number of subjects evaluated with SLE-TP was small, these data reveal a number of differences in the immunopathogenesis between SLE-TP and ITP. 相似文献