骨髓移植手术的护理体会

骨髓移植是目前治疗恶性血液病的最佳治疗方法。其中骨髓抽取术(或称采髓术)是治疗中的关键步骤。当前大多采用开放性骨髓过滤法。因此对手术的条件要求特别严格，手术室护士如何配合血液科医师顺利实施这一手术显得十分重要。     

人脾转移因子治疗儿科呼吸道疾病100例临床观察

自1988年2月至1993年7月,我院应用上海长阳生化制药厂生产的人脾转移因子治疗儿科呼吸道疾病100例,经过多年临床观察,表明该药疗效显著。现将结果报道如下。 一、一般资料 在100例小,男70例,女30例,男女之比为2.3:1。年龄6个月～3岁72例,4～7岁20例,8岁     

纯系小鼠免疫细胞个体差异

选用美国国家癌症研究所的纯系小鼠２２８只，作血细胞和腹腔细胞的分类计数，发现不同品系小鼠的细胞组成有差别。在同一品系内亦有差异，以Ｂａｌｂ／ｃ为例，高值组和低值组之间，血中和腹腔中中性粒细胞有非常显著的差别，Ｐ〈０．００１，腹腔巨噬细胞也有非常显著的差别，Ｐ〈０．００１。     

双排螺旋CT增强扫描对肺动脉栓塞的诊断价值探讨

目的本文将分析患者的肺部CT成像情况,以研究双排螺旋CT的增强扫描在肺动脉栓塞患者确诊及治疗过程中的价值。方法对23例患者分别进行双排螺旋CT增强扫描,扫描时应使患者取仰卧位,扫描范围从肺部尖端至隔上水平,在一次屏气状态下完成扫描。扫描完成后记录扫描结果。结果本次研究对象23例肺动脉栓塞患者经过双排螺旋CT增强扫描,使大部分患者的亚段肺动脉及五级肺动脉可得到显示,达到80%左右显示率,且可清晰显示患者段肺动脉、左右叶肺主动脉及肺主动脉主干显影,其中对于患者段及段以上肺动脉可达到100%显示率。结论利用双排螺旋CT影像技术对肺动脉进行造影,可以准确的反映出患者肺部病变情况,为医生提供有利的医学价值,是一种临床公认的安全、有效、可靠、实用、快捷、无创伤的诊断方法,可作为肺动脉栓塞患者进行临床诊断的首选方法。     

隔姜灸配合红外线照射治疗脾胃虚寒型胃脘痛的护理研究

[目的]探讨隔姜灸配合红外线照射对脾胃虚寒型胃脘痛的疗效及护理。[方法]将100例病人随机分为对照组和治疗组各50例。两组均给口服制酸药治疗,治疗组在此基础上加用隔姜灸配合红外线治疗,取神阙、中脘等穴,观察两组临床疗效。[结果]治疗组治愈38例,好转11例,无效1例;对照组治愈18例,有效23例,无效9例,治疗组总有效率明显优于对照组(P<0.05)。[结论]隔姜灸配合红外线治疗脾胃虚寒型胃脘痛疗效优于单纯口服制酸药治疗。     

2007年西藏自治区碘缺乏病高危地区重点人群调查分析

Objective To propose prevention and control strategy against iodine deficiency disorders to prevent new cases of endemic cretinism from occurring. Methods In April and August 2007, all the suspected cretinism patients born after the first of January, 1997 were searched for in 16 counties from Lhasa, Shannan, Nyingchi, Qamdo and Xigaze. Meanwhile, 60 children aged 8-10 years were selected in each of the two rural villages of each county chosen. Goiter was examined using palpation and B-ultrasound, urinary iodine was determined, inteligence quotient(IQ) was tested; 30 women of childbearing age from each village chosen underwent urinary iodine test and household salt semi-quantitative detection. Results No new cases of endemic cretinism had been found; Palpation identified goiter at 4.5% (257/5680) in children, B-ultrasound revealed a rate of 4.7% (258/5433). Median of urinary iodine was 159.4 μg/L, the averaged IQ was 78.3±14.5; women of childbearing age had a median urinary iodine of 70.2 μg/L. The coverage rate of iodized salt was 52.8%. Conclusions Goiter rate in children, urinary iodine level meet the standard set for the elimination of iodine deficiency disorders; however, the low IQ children, low coverage of iodized salt and the level of urinary iodine in women of childbearing age are less than desirable. Iodine deficiency disorders prevention and control need to be strengthened.     

2007年西藏自治区碘缺乏病高危地区重点人群调查分析

Objective To propose prevention and control strategy against iodine deficiency disorders to prevent new cases of endemic cretinism from occurring. Methods In April and August 2007, all the suspected cretinism patients born after the first of January, 1997 were searched for in 16 counties from Lhasa, Shannan, Nyingchi, Qamdo and Xigaze. Meanwhile, 60 children aged 8-10 years were selected in each of the two rural villages of each county chosen. Goiter was examined using palpation and B-ultrasound, urinary iodine was determined, inteligence quotient(IQ) was tested; 30 women of childbearing age from each village chosen underwent urinary iodine test and household salt semi-quantitative detection. Results No new cases of endemic cretinism had been found; Palpation identified goiter at 4.5% (257/5680) in children, B-ultrasound revealed a rate of 4.7% (258/5433). Median of urinary iodine was 159.4 μg/L, the averaged IQ was 78.3±14.5; women of childbearing age had a median urinary iodine of 70.2 μg/L. The coverage rate of iodized salt was 52.8%. Conclusions Goiter rate in children, urinary iodine level meet the standard set for the elimination of iodine deficiency disorders; however, the low IQ children, low coverage of iodized salt and the level of urinary iodine in women of childbearing age are less than desirable. Iodine deficiency disorders prevention and control need to be strengthened.     

辛凉宣解法治疗小儿上感40例的疗效观察

上呼吸道感染(简称上感,下同)是小儿的常见、多发病。我们运用辛凉宣解法治疗上感40例,疗效较为满意,现小结如下。一、临床资料 1.一般情况:40例均为住院患儿,入院确诊为上感。男26例,女14例。年龄最小4个月,最大12岁,以学龄儿童为最多。病程最短半天,最长4天,平均2天。 2.症状:全部患儿均有发热,39～40℃25例,>40℃15例。同时伴有鼻塞、流涕、咳嗽、头痛、呕吐、咽痛与腹痛等症状。38例体征均呈热性病容,3/4患儿咽充血、扁桃体红肿,1/4患儿球结膜充血。舌边尖红、苔薄白29例;舌质正常11例,其中苔薄腻9例,舌净2例。脉浮数38例,细数2例。     

宫外孕26例临床分析

宫外孕为妇科常见急腹症之一，据国内报道其中输卵管妊娠占宫h【孕总数的95％以上［‘J，本组占9615％。在西藏地区交通不便，医疗条件落后的基层医院，有必要提高对本病的认识，减少误诊。现将我科自90年1月至94年12月工年间共收治26例宫外孕病例临床分析如下：资料与分析一、     

拉萨市区中老年糖尿病患者健康教育需求调查

目的 了解拉萨市区中老年糖尿病患者的健康意识,为今后该人群提高自我保健意识提供理论论据。方法 在居民集中区对4853例藏族中老年人进行了饮食结构、体力活动、问卷调查及空腹、餐后2小时血糖和/或葡萄糖耐量检查。结果 人们对糖尿病的认识程度较低,与当地的地理环境和居民的文化程度有一定关系。结论 拉萨市区中老年人群糖尿病患者健康意识薄弱,加强对该人群健康教育的普及意义重大。