右美托咪啶预防鼾症病人术后躁动的临床研究

术后躁动是临床医生在全麻拔管期经常遇到的问题.术后躁动导致血氧降低,管道脱落,甚至引起术后出血或出现患者坠床事件,给病人带来极大风险,影响患者术后恢复.     

洛伐他汀缓释片体外药物释放度测定方法的研究

目的 建立简便、准确的测定洛伐他汀缓释片体外药物释放度方法并对其体外释放度进行研究.方法 以含0.2%十二烷基硫酸钠的磷酸盐缓冲液(pH7.0)为溶剂,桨法、转速为50 r·min-1,HPLC与UV对比测定洛伐他汀缓释片释放度.结果 采用UV和HPLC 2种方法对比测定同一批样品,结果表明2种方法具有很好的相关性.测定结果经t化极差q法多重比较,证明2种方法之间无明显差异.结论 UV可用于洛伐他汀缓释片的质量控制和释放度研究.     

ZMW型环氧乙烷灭菌箱对异体骨材料灭菌效果的初步观察

Background: The foreign bone material of the same species was widely applied, while for the multiple manipulating processes, it got lots of chances to be infected, especially for the bone manufacturing, the pollution odds increased greatly, so the sterilizing process was most important. Objective: To observe the sterilizing effects of ZMW anprolene case on foreign bone materials to find a safe and economic disinfecting way. Unit:First attached hospital of the Shihezi medical university. Subject:The manipulating method of the foreign bone material of the same species: In clean environment., bone was got in 2 hours after death of the donor, soft tissue was removed and it was made to foreign bone material of 0.5 cm× 0.5 cm× 2 cm, it was washed with water and marinated till the water got clear, then washed with distilled water repeatedly, lipid was removed with 1:1 chloroform and methanol for 4 hours at room temperature, calcium was removed with 0.6 mol/L HCL for 4 hours at 4 ℃ , it was washed with distilled water till the pH was 6.5. The bone material after treating were divided into two groups, one was dried in common air dried to make wet one plantation material and the other one was dried in 37℃ roasting case to make dry bone plantation material. They were both put in double polyethylene bags and sealed with standard sealing machine, the weight was 5 g,     

腹股沟疝修补术的新术式

腹股沟疝治疗的复发率,有的文献报道高达10％。外科医生不断的探讨其发病机制和改良治疗方法。疝的形成过程是由于腹股沟管内口及附近的腹膜不断地向外延伸的结果,其远端扩展形成疝囊,在Nyhs和condon专著中肯定下来,直接矫正腹股沟管内口和它的后壁——形成疝的起始部是合理的。依据此理论,本人在临床实践中,发现从前的方法中有明显的缺欠,例如腹股沟嵌顿疝,其绝大多数病人在术前麻醉时,疝内容物缩回腹腔,而术中在腹股     

腹股沟疝修补术的新术式

<正> 腹股沟疝治疗的复发率,有的文献报道高达10％。外科医生不断的探讨其发病机制和改良治疗方法。疝的形成过程是由于腹股沟管内口及附近的腹膜不断地向外延伸的结果,其远端扩展形成疝囊,在Nybs和condon专著中肯定下来,直接矫正腹股沟管内口和它的后壁——形成疝的起     

环氧乙烷化学指示胶带变色作为松质骨移植材料灭菌指示效果的可行性观察

摘要：目的观察环氧乙烷化学指示胶带对松质骨材料灭菌指示效果。方法样本来源于2001-04石河子大学医学院第一附属医院泌尿外科提供的肾移植供体2例，均征得本人和家属同意，自愿提供。清洁条件下取骨，制成1cm&;#215;1cm&;#215;1cm松质骨材料，环氧乙烷化学指示胶带贴于三层聚乙烯袋外、中、内层，用ZMW型环氧乙烷灭菌箱（150L）在20℃消毒4h，16℃消毒6h及20℃消毒36h，比较不同消毒条件下指示胶带变色程度及样本在消毒后的细菌培养情况以指示胶带由黄色变为桔红色为达到骨材料消毒要求。消毒后标本行细菌培养，以骨材料无细菌生长，作为骨材料无菌指标。结果在不同消毒条件下，外、中、内层环氧乙烷化学指示胶带均变色良好，每组中均有部分样本细菌培养阳性。结论：环氧乙烷化学指示胶带变色不能作为松质骨移植材料的灭菌指标。     

氯胺酮麻醉致严重类过敏反应一例

我院于1990～1999年初行氯胺酮麻醉842例,发生类过敏反应1例,现报道如下。患儿女,10岁,体重23ｋｇ,ＡＳＡ分级Ⅰ级,既往无麻醉史,普鲁卡因皮试阳性,外科诊断为双侧腹股沟斜疝,麻醉前心率为89次/分,血压14/8ｋＰａ,体温362℃。麻醉前30分钟肌注安定5ｍｇ、阿托品03ｍｇ,入手术室