1例遗传性球形红细胞增多症引发溶血危象的急救护理

遗传性球形红细胞增多症(hereditary spherocy-tosis,HS)是一种遗传性溶血性疾病。本病为常染色体显性遗传,其异常基因存在于第8对或第12对染色体上,但也有少数病例无阳性家族史,这可能     

围生期Evans综合征并溶血危象1例

1病例简介 病人女,30岁,剖宫产术(娩出一足月健康男婴)后3 d因发热(37.5℃～38℃)伴乏力、心悸和面色苍白2 d入院.无大出血史.入院时产科检查伤口对合好,子宫和双侧附件无异常,恶露少,无异味.T 38℃,HR 112次/min,R24次/min,BP 130/70 mmHg.重度贫血貌,皮肤苍白,轻度黄染,浅表淋巴结无肿大,心肺无异常,腹软,脾脏肋下4 cm,质中、无压痛,神经系统未见异常.血WBC 4.5×109/L,RBC 1.48×1012/L,Hb44g/L,PLT 73×109/L,RC 4.5%.尿二胆阳性.血间接胆红素53μmol/L,肝酶、肾功能正常,胸部X线检查无异常,腹部超声示脾大.超声心动图未见异常.追问病史,病人既往体健,妊娠间期无异常,因胎儿头盆不称而行剖宫产术.     

一例甲亢危象产妇的护理体会

甲亢危象是甲亢的严重表现，可危及生命，主要诱因为精神刺激，感染，甲状腺手术前准备不充分等。早期为患者原有的症状加剧，伴中等发热，体重锐减，恶心呕吐，以后发热可达40℃或更高，心动过速常在160次／分以上，大汗，腹痛，腹泻，甚而谵妄，昏迷，死因多为高热虚脱，心衰，肺水肿，严重水电解质代谢紊乱等。甲亢与妊娠相互影响，甲亢可致早产，流产，[第一段]     

溶血尿毒综合征护理体会

溶血尿毒综合征护理体会０４６０００山西省长治医学院附院赵俊丽，解卫红，王爱平溶血尿毒综合征（ｈｅｍｏｌｙｔｉｃｕｒｅｎｉｃｓｙｎｄｒｏｍｅＨＵＳ）是以急性微血管住溶血性贫血，急性肾功能衰竭、血小板减少为特征的一种综合征。发病多集中于小儿时期，尤其是婴...     

溶血危象误诊为肝硬化并消化道出血1例

本科室收治1例溶血危象的患者,人院时误诊为肝硬化并消化道出血、失血性休克,现报道如下。     

重症肌无力危象9例护理体会

2005年1月～2007年3月,我们共收治重症肌无力危象患者9例,经积极治疗与精心护理,效果满意.现报告如下.     

重症肌无力危象82例护理体会

目的:探讨重症肌无力危象的有效护理方法.方法:对82例重症肌无力危象患者(87次危象)采取紧急气管插管或气管切开进行机械通气,并加强呼吸道管理,积极预防交叉感染,做好基础护理、心理护理.结果:本组抢救成功70例,死亡12例.结论:及时采取机械通气,改善缺氧症状,是挽救重症肌无力危象患者生命的关键,配合有效的心理护理可加快患者康复.     

预防甲亢术后危象的护理体会

甲状腺大部分切除术是治疗甲亢的一种有效方法，其术后并发症较常见，甲状腺危象是甲亢病人术后最为严重的并发症，如术前准备不充分，麻醉及手术操作粗暴、术后感染及精神创伤等均可诱发。我院自1998年10月至2004年10月共收治甲亢病人52例，均行甲状腺大部分切除术，术后无一例发生甲状腺危象。现将护理体会总结如下。     

The shadowing experience for nursing students

The shadowing scheme supports nursing students in learning how to manage and identify the characteristics of good leadership. Derby Hospitals NHS Foundation Trust and the University of Nottingham offered nursing students the opportunity to shadow service leaders and managers during their final semester. This initiative promotes an effective service, takes account of students' needs and interests and supports the government's modernisation agenda and the NHS Plan (Department of Health (DH) 2000).     

The concept of crisis: its utility for nursing

The concept of crisis is important to nursing; yet, discrepancies exist in the way the term is viewed conceptually and applied clinically. This lack of clarity makes systematic research more difficult. In this article, crisis intervention theory is used to describe the concept of emotional crisis. Traditional and more recent constitutive definitions are discussed using related theories of stress and threat. The utility of crisis for nursing is outlined with a focus on crisis as a continuous entity as opposed to the dichotomous variable it is often considered to be. Implications for research and clinical practice are explored.