胰腺结石1例护理体会

胰腺结石是一种较少见的疾病，有报道。占尸检材料的0．09％-0．13％。它既是引起慢性胰腺炎的原因。又是慢性胰腺炎发展的最终结果。目前，对于上腹部疼痛且反复发作，难以忍受。以至于影响正常工作和生活的胰腺结石患者可采取手术治疗。但胰腺类手术。危险性高、并发症多、护理困难多、难度大。我院于2003-03-04收治1例胰腺结石的患者。经手术取石。术后恢复顺利。痊愈出院．现将有关护理体会报告如下。     

只是因为多看了你一眼(散文诗)

正透过一片黄栌叶的红,我蓦然看见了你。顿时,心海奏响如歌的行板,吟唱着生命中最美丽的盛放。人海茫茫,只因在人群中多看了你一眼,便再也忘不掉俏丽的容颜。感恩上苍赐我一次灿烂的邂逅,一场最美的跋涉。你明净的眸,宛如一枚小小的石子,投入我的波心。紧闭的心扉呵,悄然绽启,唤醒今世的情缘。金风飘来桂花的香。山坡上,一株古老的银杏跨越千年,缠绕着幸福的红丝带。站在树下,倾听被流水滤过的时光。一只前世的蝶,落在我的肩头,翩舞成红尘的情话。     

影像学技术在眼内异物诊断中的应用

眼内异物所致的损伤常常是比较严重的眼外伤。不仅当异物进入眼球时所形成的机械性损伤，可破坏眼球不同部位的组织，而且由于异物的存留增加了眼内感染的危险，也增加了发生交感性眼炎的可能性。异物的长期存留是对眼内组织的持续性刺激。因而可引起一系列的并发症。因此。眼内异物的早期诊断至关重要。其中影像学检查方法在早期诊断中又占有举足轻重的地位。现对常用的影像学检查方法。作一简要综述。     

影响野战生存的一个重要因素——风寒

冻伤是严寒带给人类的主要疾病,它可使人的局部血循环障碍,造成肌体组织的缺他营养性缺损。严重的冻伤能使人体某些肌体组织坏死,甚至造成死亡。由于它的存左,人员在严寒地区的野战生存能力受到了限制。固此,对于冻伤的研究和预防。已经成了人们普遍关心的问题。然而。在谈到导致冻伤的因素时,人们最容易把低温列为祸首。其实,这是片面的。因为人们肉体对于寒冷程度的感觉并不单纯决定于低温,还在很大程度上决定于风寒。     

皮肤微循环血管树的实验形态学研究

图”1.甲床瀑布样及蜂窝状微循环血管分支的主体构筑。 7.趾纹内轨道式排列的血管排立体构筑。 2.包皮真皮乳头层血管袢及螺旋线型血管排列。 8.龟头表面皮肤内穹窿型血管袢立体构筑。 3.包皮真皮乳头内的矮小血管袢。 9.龟头表面皮肤内扣结型血管袢。 4.包皮真皮乳头内梅花样血管袢。 10。龟头表面皮肤内麻花型血管袢。 5。包皮真皮乳头基底部的乳头下血管网。 。 11。龟头表箍皮肤内干线式血管及其襻附动脉。- 6.包皮深筋膜层的T线式血管及其间的细密血管 ’ 12.氇头皮肤以尿道外口为中心的放射状排列的杵状血 一 网络。 i 。 管束。皮肤…     

复杂性眼外伤玻璃体手术围术期护理

复杂性眼外伤平战时都较为常见。因其累及范围广，程度严重，病情复杂多样，常伴有眼内多种组织的损伤，并可引起一系列严重的继发性改变，若不及时治疗，最终结果导致眼球萎缩。故为眼科常见的视力丧失的主要原因之一。随着科学技术的发展。显微玻璃体手术的逐渐开展。使一些不能挽救的复杂性眼外伤获得了复明的机会。现将我们的护理体会报告如下。     

结肠梗阻的综合诊断意义

目的：探讨结肠梗阻的CT及钡灌肠的综合诊断价值。方法：回顾性分析经手术及结肠镜病理证实的低位结肠梗阻21例CT及X线表现。结果：结肠癌12例，其中重复癌2例。其中1例合并肠套叠。结肠粪块1例。胰尾囊腺癌1例。卵巢癌1例。假性结肠梗阻2例。结肠内脂肪瘤1例。结论：CT及钡剂灌肠对低位结肠梗阻可以较明确的病因诊断，对于临床进一步治疗有明确的指导意义。     

呼吸系统

生后肺动脉闭塞对肺发育的影响,以前尚无报告。获得性肺发育不全已有报告。已知的是 Swyer等首先描述的“过度透明肺综合征”。该病中,系支气管分支的炎性破坏,以致肺泡通气障碍,引起对肺泡生长的限制。已知妨碍生后肺生长的其他因素为放疗、脊柱侧凸和在动物实验中吸入高水平的氧气。先天性肺动脉缺如常伴有单侧的肺动脉发育不全。尚无人类生后肺血液动力学对肺生长影响的报告。本文报告2例。     

儿童结核性支气管穿孔和支气管食管瘘

作者报告1侧支气管穿孔和2例支气管食管瘘。皆为男性、年龄均在7个月之内。1例于支气管造影证实;2例由食管造影证实。1例支气管食管瘘的病儿死亡。支气管食管瘘不常见,其重要性也不如气管食管瘘。可为先天性的可为获得性的。感染、创伤、腐蚀性物质的咽下和异物的吸入是获得性的致因。儿童期结核性支气管食管瘘是罕见的。文献中18例诊为瘘的病例、证实为结核性的仅2例。结核性的瘘是由于支气管周围的淋巴结侵入附近结构如食管或支气管。作为肺结核并发症的支气管穿孔比瘘更为重要。因为在儿童期穿孔是常见的。Frostad 报告90例肺结核的儿童、25例发生穿孔,且多为4岁以下的儿童。穿孔一般由支气管镜确诊,但也可由支气管造影证实。先天性支气管食管瘘可作为单独畸形存在,或可伴有其它畸形,其中以伴发肺隔离症最常见。儿童期以伴发畸形者最多见。文献记载的48例有仅3例单独的瘘考虑是先天性的。对单独的瘘诊为先天     

动脉灌注化疗的药物选择原则

动脉灌注化疗是治疗恶性肿瘤的一种有效的方法,在选择灌注化疗药物时应考虑以下用药原则。①选择肿瘤敏感型药物。②不同抗癌机制药物相配伍。③选择药物配伍的种类和药物之间的相互作用。④浓度依赖型药物为首选。⑤抗癌药物配伍应注意不良反应。⑥灌注的药物对癌细胞的杀伤作用是以原型起作用的。⑦注意给药的顺序和疗程间隔。⑧注意给药个体化 由于患者的机体状况不同、肿瘤的不均一性,个别对待是临床治疗的基本原则之一。⑨注意结合化疗药的药代谢动力学特点。⑩还应熟悉常用药物和常见肿瘤的化疗方案。     

Knee injury and Osteoarthritis Outcome Score (KOOS) - validation of a Swedish version

The Knee injury and Osteoarthritis Outcome Score (KOOS) is a self-administered instrument measuring outcome after knee injury at impairment, disability, and handicap level in five subscales. Reliability, validity, and responsiveness of a Swedish version was assessed in 142 patients who underwent arthroscopy because of injury to the menisci, anterior cruciate ligament, or cartilage of the knee. The clinimetric properties were found to be good and comparable to the American version of the KOOS. Comparison to the Short Form-36 and the Lysholm knee scoring scale revealed expected correlations and construct validity. Item by item, symptoms and functional limitations were compared between diagnostic groups. High responsiveness was found three months after arthroscopic partial meniscectomy for all subscales but Activities of Daily Living.     

Endovascular management of carotid-cavernous fistulas

Objective To investigate endovascular treatment of traumatic direct carotid-cavernous fistulas （CCF） and their complications such as pseudoaneurysms. Methods： Over a five-year period, 22 patients with traumatic direct CCFs were treated endovascularly in our institution. Thirteen patients were treated once with the result of CCF occluded, 8 twice and 1 three times. Treatment modalities included balloon occlusion of the CCF, sacrifice of the ipsilateral internal carotid artery with detachable balloon, coll embolization of the cavernous sinus and secondary pseudoaneurysms, and covered-stem management of the pseudoaneurysms. Results All the direct CCFs were successfully managed endovascularly. Four patients developed a pseudoaneurysm after the occlusion of the CCF with an incidence of pseudoaneurysm formation of 18.2% （4/22）. A total number of 8 patients experienced permanent occlusion of the ICA with a rate of ICA occlusion reaching 36.4% （8/22）. Followed up through telephone consultation from 6 months to 5 years, all did well with no recurrence of CCF symptoms and signs. Conclusion Traumatic direct CCFs can be successfully managed with endovascular means. The pseudoaneurysms secondary to the occlusion of the CCFs can be occluded with stent-assisted coiling and implantation of covered stents.     

The acutely limping child

Acute limping may be the result of multiple pathologies in children. The differential diagnosis varies based on the age of the child. Irrespective of age, the initial imaging work-up includes AP and frog leg radiographs of the pelvis and ultrasound; MRI may sometimes be helpful. In children less than 3 years, infections and trauma are most frequent. MRI is the imaging modality of choice when osteomyelitis is clinically suspected. Between the ages of 3 and 10 years, transient synovitis of the hip and Legg-Calvé-Perthes disease are main considerations but infection, inflammation and focal bony lesions are also considered. In children over 10 years, slipped capital femoral epiphysis also is considered.     

Do Balance Board Training Programs Reduce the Risk of Ankle Sprains in Athletes?

Introduction Ankle sprains are the most common musculo-skeletal injury that occurs in athletes,particularly in sports that require jumping and landing on one foot such as soccer,and basketball(1-4).These injuries often result in significant time loss from participation,long-term disability,and have a major impact on health care costs and resources(5-8).     

High Intensity Interval Training:New Insights

KEY POINTS ·High-intensity interval training(HIT)is characterized by repeated sessions of relatively brief，intermittent exercise.often performed with an“a11 out”effort or at an intensity close to that which elicits peak oxygen uptake(i.e.，≥90%of VO2 peak).     

Developmental validation of the PowerPlex(®) ESI 16 and PowerPlex(®) ESI 17 Systems: STR multiplexes for the new European standard

In response to the ENFSI and EDNAP groups’ call for new STR multiplexes for Europe, Promega^® developed a suite of four new DNA profiling kits. This paper describes the developmental validation study performed on the PowerPlex^® ESI 16 (European Standard Investigator 16) and the PowerPlex^® ESI 17 Systems. The PowerPlex^® ESI 16 System combines the 11 loci compatible with the UK National DNA Database^®, contained within the AmpFlSTR^® SGM Plus^® PCR Amplification Kit, with five additional loci: D2S441, D10S1248, D22S1045, D1S1656 and D12S391. The multiplex was designed to reduce the amplicon size of the loci found in the AmpFlSTR^® SGM Plus^® kit. This design facilitates increased robustness and amplification success for the loci used in the national DNA databases created in many countries, when analyzing degraded DNA samples. The PowerPlex^® ESI 17 System amplifies the same loci as the PowerPlex^® ESI 16 System, but with the addition of a primer pair for the SE33 locus. Tests were designed to address the developmental validation guidelines issued by the Scientific Working Group on DNA Analysis Methods (SWGDAM), and those of the DNA Advisory Board (DAB). Samples processed include DNA mixtures, PCR reactions spiked with inhibitors, a sensitivity series, and 306 United Kingdom donor samples to determine concordance with data generated with the AmpFlSTR^® SGM Plus^® kit. Allele frequencies from 242 white Caucasian samples collected in the United Kingdom are also presented. The PowerPlex^® ESI 16 and ESI 17 Systems are robust and sensitive tools, suitable for the analysis of forensic DNA samples. Full profiles were routinely observed with 62.5 pg of a fully heterozygous single source DNA template. This high level of sensitivity was found to impact on mixture analyses, where 54–86% of unique minor contributor alleles were routinely observed in a 1:19 mixture ratio. Improved sensitivity combined with the robustness afforded by smaller amplicons has substantially improved the quantity of data obtained from degraded samples, and the improved chemistry confers exceptional tolerance to high levels of laboratory prepared inhibitors.