不典型支气管哮喘临床分析

典型的支气管哮喘临床一般不难诊断 ,但对临床不典型的患者极易误诊。作者自1997年2月～2002年5月收治138例不典型支气管哮喘病例 ,分析报道如下。1临床资料1.1一般资料138例支气管哮喘均符合1997年哮喘会议制定的诊断标准 ,其中男78例 ,女60例 ;年龄13～67岁 ,平均35岁 ;发病至就诊时间3d～6年 ,平均62d。确诊前均被诊断为其他疾病 ,均进行抗感染、止咳化痰等药物治疗 ,个别有过短期 (1～2d)的皮质激素、茶碱及强心等药物 ,疗效均不满意 ;7例作过肺功能检查 ,所有病人均作呼气峰流速仪测定 ,最大呼气流量 (PEFR)变异率。1.2临床表现138例…     

支气管哮喘42例护理体会

2003年9月～2004年8月,我院收治支气管哮喘42例,现将护理体会报告如下。     

支气管哮喘病人的护理体会

支气管哮喘是一种内科常见病，是因过敏原或其它非过敏因素引起的一种支气管反应性过度增高的疾病。通过神经体液而导致气管可逆性痉挛、狭窄。此病可突然发作、反复发作，有时哮喘呈持续状态，多以呼气性呼吸困难为主。严重时给患者造成了心灵的创伤，形成心理障碍，给家庭和社会加重了负担。因此，做好哮喘病人的护理是提高治疗效果，促进早日康复的重要措施之二。     

84例儿童支气管哮喘的护理体会

【目的】探讨护理干预对支气管哮喘患儿治疗效果的影响及健康教育实施的效果。【方法】对本院2008年7月至2009年6月收治的84例支气管哮喘患儿进行合理治疗、妥善护理;并对84例哮喘患儿及家长讲解小儿支气管哮喘基础知识,有针对性地加以指导。【结果]98．81％患儿临床表现均有明显改善,肺部哮鸣音减少或消失,咳嗽、胸闷、气急明显减轻;通过健康教育,患儿及家长能更好地配合治疗和预防,达到减少哮喘的发作,提高生活质量。【结论】通过良好的护理和健康教育,可使支气管哮喘患儿得到了更好的治疗,缩短病程,加快康复。     

支气管哮喘病人治疗护理体会

支气管哮喘是由多种细胞和细胞组分参与的气道慢性炎症性疾患。在过去的20年，支气管哮喘的发病率在世界范围内呈上升趋势。在发达国家，自1980年以来，哮喘发病率增加了将近一倍，达到了流行的人数。目前我国发病率为0．5～2％。为提高哮喘病人的自我保健能力和生活质量，我院于2000年开始加大对支气管哮喘病人进行健康宣教的力度。     

支气管激发试验对不典型哮喘的诊断价值

咳嗽变异性哮喘是哮喘的一种特殊类型,可发生于任何年龄,无性别差异,其主要的临床症状是于咳,多无痰,或少许泡沫痰,一般无明显的喘息表现,     

重症支气管哮喘的护理体会

目的 探讨重症支气管哮喘的护理体会.方法 收集我科2006-2009年收治的42例重症支气管哮喘患者,对其采取有效的治疗及护理.结果 经住院治疗后,39例患者病情得到有效控制和缓解,3例患者病情部分缓解.结论 重度支气管哮喘的护理要做到最大限度的避免诱发因素,预防哮喘发作,要从生理和心理两个方面去关心患者,建立患者与医护人员的伙伴关系.     

皮质激素吸入治疗支气管哮喘的护理

目的研究糖皮质激素在支气管哮喘患者治疗中的作用和意义，让患者理解吸入治疗在控制和缓解病情中的作用，消除患者对使用激素类药物的顾虑。方法在护士的指导下掌握吸入技巧，让患者了解哮喘的诱因及预防措施，建立良好的遵医行为。结果尽可能的避免和控制哮喘发作，使肺功能维持在较好的水平。结论让患者正确认识和对待所患疾病，树立战胜疾病的信心，使其主动参与防治工作，有助于提高患者的生存质量。     

Chlorpromazine combined with cidofovir for treatment of a patient suffering from progressive multifocal leukoencephalopathy

We report on a stem cell-transplanted patient with B cell chronic lymphatic leukemia who presented with a subacute onset of focal neurological deficits, gait abnormalities, emotional lability and dementia. Progressive multifocal leukoencephalopathy was diagnosed by magnetic resonance imaging (MRI) of the brain and detection of JC virus genome in the cerebrospinal fluid. Cidofovir and the 5HT2A receptor antagonist chlorpromazine were subsequently administered. A follow-up MRI of the brain 2 weeks after initiation of the antiviral therapy displayed progress of the demyelination, and the patient died 3 months after onset of the neurological symptoms. This report highlights the need for the development of novel and potent strategies for treatment of progressive multifocal leukoencephalopathy.     

Aerobic exercise for a patient suffering from metastatic bone disease

A 48-year-old female patient suffering from advanced breast cancer with metastatic bone disease participated in an aerobic exercise program consisting of ergometer cycling three times a week for 1 year. Feasibility, safety and beneficial effects of the program were proven for the patient in this case study. VO(2)max (20.2% after 16 weeks, 52.7% after 12 months) and peak work capacity (15.5% after 16 weeks, 35.7% after 12 months) had increased. The patient experienced a marked improvement in physical performance and in quality of life. Aerobic exercise, initiated and executed with appropriate care, may serve as a useful additional means of palliative treatment in some cancer patients with bone metastases.     

Evaluation of a new night nursing service for elderly people suffering from dementia

• ? A new night hospital nursing service was developed for older people with dementia.
• ? A case study approach to evaluation was adopted using a structure-process-outcome quality assurance cycle.
• ? The effects and attendance of patients are reported and discussed.
• ? Discussion relating to care provision for the future is presented.
• ? The effects on carers of patients' attendance are briefly discussed.

     

The politics of suffering: implications for nursing science

Drawing on newly emergent conceptualizations of suffering in the social sciences that emphasize political dimensions, this article uses a critical-feminist, self-reflective approach to propose a reconceptualization of suffering for nursing science. Discourse analysis of local narratives and metanarratives is undertaken as a basis for proposing alternative methods, including a critical humanities approach, for nurse scholars to use in creating a transformed, politicized epistemology of suffering.     

Being in the world of the suffering patient: a challenge to nursing ethics

Ethics in caring is what we actually make explicit through our approach and how we invite the suffering patient into a caring relationship. This phenomenological study investigates suffering and health and how this presupposes a deeper reflection on ethics in caring. The aim was to try to discover, describe and understand how patients experience their life situation three years after undergoing surgery. The theoretical approach is based on central aspects of Eriksson's caritative theory (i.e. the view of the person as body, soul and spirit). The informants were four women and four men aged between 55 and 77 years. The empirical material revealed suffering that was connected with both illness and life. Suffering involves experiences of grief, loneliness and struggling. Health implies a yearning for something beyond the current life situation, a yearning to experience some meaning in life. This leads to an awareness of unplumbed possibilities. Understanding the experiences of individual patients demands of us, as both researchers and nurses, to act, seeking after the scientific truth (i.e. a deeper reflection of the ontological, epistemological and methodological questions). The idea of responsibility helps us to interpret and meet the innermost desires of suffering patients in their true presence. Caritative caring ethics means 'being there', confirming patients' absolute dignity; it is a manifestation of the love that 'just exists'. Compassion requires an inner disposition to go with others to the places where they are weak, vulnerable, lonely and broken. An ontology of caring provides both a starting point and a context for reflection about ethics and the ethical life.