多磺酸粘多糖乳膏与50％硫酸镁湿热敷联用对新生儿经外周静脉置入中心静脉导管术机械性静脉炎的疗效评价

目的:评价多磺酸粘多糖乳膏与50%硫酸镁湿热敷联用对新生儿经外周静脉置入中心静脉导管术(PICC)机械性静脉炎的临床疗效。方法:选取2017年1月—2018年12月期间收治的新生儿PICC机械性静脉炎患儿88例资料,按治疗方法的不同将其分为观察组和对照组(每组44例);对照组患儿给予50%硫酸镁湿热敷治疗,观察组患儿在对照组基础上加用多磺酸粘多糖乳膏治疗,比较两组患儿治疗后的总有效率、临床症状(红肿、疼痛和血管弹性)复常时间及治疗期间不良反应发生率的差异。结果:观察组患儿治疗后的总有效率高于对照组(P<0.05),临床症状(红肿、疼痛和血管弹性)复常时间均早于对照组(P<0.05);两组患儿治疗期间均未见严重不良反应发生。结论:采用多磺酸粘多糖乳膏与50%硫酸镁湿热敷联用治疗新生儿PICC机械性静脉炎的疗效较为确切,有效改善了其症状,且安全性未受影响。     

相见不如怀念

又是冬天了,你的信翩然而至,写给我的却只有几句活:“如一幅宁静淡远的水墨画,如一首深沉含蓄的小诗。走进冬天,才觉得春太臃肿,夏多烦躁,秋过于负重;走进冬天,才懂得人生没有经历冬天的风霜雪雨永远不算完美。经历过寒冬的我,能否在春天里看你的笑容?” 坐在六楼的阳台.看阳光洒满没有绿色的街,手里握着你粉红的签页。此刻,你纸糊的风铃正拂动我的思念在晨风中叮叮铛铛,流淌成我的心情故事。 认识你很简单。两年前的晚夜班。独自坐在办公室,听着病人的小小的鼾声,捧一本书静静地渎。你来     

非外伤性膈疝1例

1　病历摘要女,2 8岁。因妊娠5个月,恶心、呕吐5d ,上消化道大出血9h住院。5d前进食后出现剧烈恶心、呕吐,突感胸、腹痛,胸闷,呼吸困难,在当地医院X线胸片示“左侧胸腔内液气胸”,经胃肠减压及胸腔闭式引流效果欠佳。9h前呕出大量咖啡色胃液,无胆汁。面色苍白,休克,转我院治疗。查体:T 38.6℃、P 14 0次/min、R 4 2次/min、BP 80 / 6 0mmHg(1mmHg =0 .133kPa) ;急性痛苦面容,呼吸浅快,大汗,四肢湿冷;左胸部压痛及呼吸音减弱,腹膜刺激征阳性;宫底于耻骨上约2横指处,肠鸣音消失,胎心音快。WBC 18.9×10 9/L ,N 0 .89,Hb 70g/L ;X线胸片…     

贝克曼急诊生化仪定标原理及定标失败原因分析

二十世纪九十年代以来 ,随着贝克曼公司生产的大型全自动生化分析仪进入中国市场 ,其中以BECKMANCX7全自动生化分析仪中的CX3部分 ,是国内唯一应用电极法测定钾、钠、氯、钙、二氧化碳、肌酐、尿素氮和葡萄糖等八个项目参数的分析仪 ,同时可计算BUN/CREA的比值、渗透压和阴离子隙等。它以快速、准确、标本用量少而深得用户的好评 ,特别适合急诊生化的测定。正确理解CX3部分的定标原理 ,对分析和解决定标失败原因有着非常重要的意义。1　分析原理1 1　分析信号处理　标本进行测定时 ,将来自传感器、电极、检测器和电解质的信号先传…     

50%葡萄糖注射液治疗老年难愈合伤口的疗效观察和护理体会

Objective To explore the curative effect and nursing intervention of 50%GS in gerontism with hard agglut wound. Methods 52 patients from the Affiliated Hospital of Guangdong Medical College, be-tween March 2007 and April 2008, were enrolled in this study. They were randomly divided into 2 groups accord-ing to numerical table. Conventional dressing change methods were used in the control group and 50% GS was rated in the observation group. The effectual rate and healing time of the two groups were observed and com-pared. Results The effectual time in control group was (12.8±5.12) days, while (8.65±3.52) days in theobservation group, and the healing rate in the control group was 53.8% and 80.8% in the observation group. The effectual rote and healing time of patients in observation group were better than those of patients in control group, and there were significant differences between them (P<0.05) . Conclusions 50% GS is an effective and con-venient method which can accelerate the curing of hard agglut wound. Therefore, it is highly recommended and popularized.     

50%葡萄糖注射液治疗老年难愈合伤口的疗效观察和护理体会

Objective To explore the curative effect and nursing intervention of 50%GS in gerontism with hard agglut wound. Methods 52 patients from the Affiliated Hospital of Guangdong Medical College, be-tween March 2007 and April 2008, were enrolled in this study. They were randomly divided into 2 groups accord-ing to numerical table. Conventional dressing change methods were used in the control group and 50% GS was rated in the observation group. The effectual rate and healing time of the two groups were observed and com-pared. Results The effectual time in control group was (12.8±5.12) days, while (8.65±3.52) days in theobservation group, and the healing rate in the control group was 53.8% and 80.8% in the observation group. The effectual rote and healing time of patients in observation group were better than those of patients in control group, and there were significant differences between them (P<0.05) . Conclusions 50% GS is an effective and con-venient method which can accelerate the curing of hard agglut wound. Therefore, it is highly recommended and popularized.     

序贯法外周静脉留置术在产后出血患者抢救中的应用

目的探讨序贯法外周静脉留置术在产后出血患者抢救中应用的临床价值。方法将125例产后出血患者作为研究对象,随机分为序贯法组66例和传统法组59例,序贯法组采用序贯法外周静脉留置术,传统法组采用传统的留置针静脉穿刺法,2组患者均选择桡静脉作为穿刺部位,以第1次穿刺即可见回血为穿刺成功的观察指标,分别统计2组患者穿刺成功的例数,并进行比较。结果序贯法组穿刺成功率为65.15%,传统法组穿刺成功率为33.90%,2组比较,有非常显著性差异(P<0.01)。结论序贯法可明显地提高产后出血患者静脉留置术的成功率,为抢救产后出血患者快速建立静脉留置通道开拓了一种新途径,对提高产后出血的治愈,挽救生命,具有非常重要的现实意义。     

1例肝移植术后多器官真菌性脓肿的护理

肝病病人抗感染能力弱,而肝移植术后免疫抑制剂的使用更降低了机体的抵抗力,同时又使用人工气道或各种侵入性操作,广谱抗生素等的应用这些因素易破坏机体防御机制,易改变病人正常菌群结构,引起菌群失调.     

心理暗示联合放松疗法对乳腺癌术后病人心理的影响

[目的]探讨心理暗示联合放松疗法对乳腺癌术后病人心理的影响。[方法]选取120例行乳腺癌改良根治术后的病人,按手术先后进行编号,单号为观察组,双号为对照组,每组60例。对照组给予常规护理,观察组在常规护理基础上给予心理暗示及放松疗法,术后第3天及术后6个月采用焦虑自评量表(SAS)、抑郁自评量表(SDS)对两组病人的心理进行评价并进行比较。[结果]术后6个月观察组病人的SAS、SDS评分明显低于对照组(P0.05)。[结论]心理暗示联合放松疗法能够减轻乳腺癌术后病人的焦虑、抑郁情绪。