肝移植患者围手术期的临床护理

肝移植手术复杂，病情变化波动大，手术时间长，创伤大，因此，围手术期护理非常重要。现将我院2005年11月-2006年10月6例同种异体原位肝移植手术的围手术期护理体会介绍如下。     

胸椎椎弓根螺钉内固定术患者的围手术期护理

2005年1月～2007年1月,我们应用三维数字化移动CT-SIREMOBIL Iso-C三维导航系统对13例胸椎骨折脱位患者行椎弓根螺钉内固定术,辅助加强患者围手术期的护理和术后功能锻炼,获得满意效果.现将围手术期护理体会报告如下.     

青光眼合并白内障10例围术期护理

2005～2007年,我院共为10例青光眼合并白内障患者行手术治疗,现将围术期护理体会报告如下.     

同种异体原位心脏移植3例围手术期护理体会

2005年以来，我们共成功施行同种异体原位心脏移植术3例，未发生严重并发症。现将围手术期护理体会报告如下。     

肾移植术后心血管并发症的护理

目的探讨肾移植术后心血管并发症的护理情况。方法选取2008年1月~2014年12月我院收治的同种肾移植术患者235例作为研究对象,分析总结各项护理措施,以及对患者病情变化的积极作用。结果围术期共发生恶性高血压41例,心力衰竭19例,心肌梗死4例。所有患者经住院期间积极治疗后好转,肾功能恢复良好,安全出院。结论肾移植术后采用全程护理模式,对心血管并发症的治疗护理有积极的作用。     

安置永久性起搏器患者的围手术期护理

2005年2月～2007年1月,我们对23例严重缓慢性心律失常患者安置永久性起搏器,效果良好.现将围手术期的护理方法介绍如下.     

1例自体肾移植患者围手术期的护理

肾移植是治疗终末期肾功能不全最有效的方法之一。2009年9月,我科为1例双侧肾动脉狭窄、伴高血压的患者成功实施了自体肾移植手术,目前患者恢复良好,已康复出院。现将围手术期护理报告如下。     

门静脉高压症的围手术期护理

目的探讨门静脉高压症围手术期的一般护理及并发症的护理方法。方法总结2003-01～2010-12门静脉高压症手术33例的围手术期护理措施。结果 33例门静脉高压症手术患者经整体护理后,并发症的发生明显减少。结论精心的围手术期护理能提高门静脉高压症手术患者治愈率,减少并发症和降低病死率。     

62例高龄高危肺癌患者围手术期护理体会

1996年1月-2005年10月，我们对62例高龄高危肺癌患者施行了肿瘤切除术，疗效较好。现将围手术期护理体会报告如下。     

无骨折脱位颈脊髓损伤患者后路椎管扩大成形术的围手术期护理

无骨折脱位的颈脊髓损伤有着高致残率和高病死率,手术时机难以把握,许多患者因为多种原因无法接受手术治疗.此类患者围手术期的护理对于术后脊髓的功能恢复起到至关重要的作用.武警北京市总队第二医院自2007年7月～2012年10月共接收23例此类患者,现将围手术期的护理方法报告如下.     

State of knowledge of helminth fauna of freshwater fishes of Poland

A total 89 fish and lamprey species has been recorded from Polish freshwater habitats. Twenty-seven of them (30.3%) have not been surveyed for parasitic helminthes. Some of the latter fishes are either rare or not easily accessible. Other live only in specific habitats in scattered localities. An important obstacle for studying parasite faunas of some fishes may be their status on an endangered species. Among the non-surveyed fishes, are those which have been relatively recently introduced to Poland or migrated there on their own. The present paper attempts to review all hitherto not studied helminthologically fish species, their habitats, localities and current protection status.     

高血压降压治疗目标的再认识

根据传统的高血压水平的定义,1993年WHO高血压治疗指南提出血压控制目标为<140/90mm Hg(1mm Hg=0.133kPa),但是并非所有患者都必须将血压降至同一水平,而应根据患者情况进行个体化治疗。Framingham进行的一项长达10～12年的心血管事件研究发现,第5年后,正常上限血压[收缩压(SBP     

Lack of correlation of degree of villous atrophy with severity of clinical presentation of coeliac disease

BACKGROUND AND AIM: Both the clinical presentation and the degree of mucosal damage in coeliac disease vary greatly. In view of conflicting information as to whether the mode of presentation correlates with the degree of villous atrophy, we reviewed a large cohort of patients with coeliac disease. PATIENTS AND METHODS: We correlated mode of presentation (classical, diarrhoea predominant or atypical/silent) with histology of duodenal biopsies and examined their trends over time. RESULTS: The cohort consisted of 499 adults, mean age 44.1 years, 68% females. The majority had silent coeliac disease (56%) and total villous atrophy (65%). There was no correlation of mode of presentation with the degree of villous atrophy (p=0.25). Sixty-eight percent of females and 58% of males had a severe villous atrophy (p=0.052). There was a significant trend over time for a greater proportion of patients presenting as atypical/silent coeliac disease and having partial villous atrophy, though the majority still had total villous atrophy. CONCLUSIONS: Among our patients the degree of villous atrophy in duodenal biopsies did not correlate with the mode of presentation, indicating that factors other than the degree of villous atrophy must account for diarrhoea in coeliac disease.