婴幼儿拒食症病因及干预措施研究进展

婴幼儿拒食症属于喂养困难中的严重病症,病因与患儿心理、生理、病理、教育、行为习惯等因素有关,是婴幼儿、喂养者和喂养环境相互作用的结果。治疗应依托家庭和医院等场所,尽早用心理矫正、行为矫正和药物干预等方法诊治。     

布洛芬混悬液对小儿烧伤后解热镇痛作用观察

目的:观察布洛芬混悬液(美林)对小儿烧伤高热的退热及止痛效果。方法:将烧伤后腋温>38.5℃的患儿165例随机分成两组,分别用美林和赖氨匹林注射液(来比林)治疗。结果:在0.5h内来比林开始退热,在0.5~1h美林和来比林注射液的退热效果相同,美林在2h内能使患儿体温降至正常,并维持8h。美林对疼痛的缓解比来林更为显著。结论:美林退热疗效类似于来比林,且能缓解疼痛,价格便宜,口服方便。     

乌司他丁在急性肺损伤肺保护性机械通气中的疗效观察

目的 探讨乌司他丁在急性肺损伤(ALI)肺保护性机械通气中的疗效.方法 将90例ALI患者分为观察组与对照组各45例,所有患者均给予一般治疗与保护性机械通气,观察组另给予乌司他丁治疗,5d后对比两组的疗效.结果 治疗前两组动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)、氧合指数(PaO2/FiO2)、白细胞计数(WBC)差异无统计学意义(P＞0.05),治疗后观察组PaO2、PaO2/FiO2高于对照组(P＜0.05),PaCO2、WBC低于对照组(P＜0.05).观察组总有效率高于对照组(P＜0.01).结论 乌司他丁对保护性机械通气的ALI患者可有效抑制炎症反应,改善肺组织换气功能,改善预后.     

确保部队医院为兵服务的几点作法

为了确保部队医院在当前市场条件下为兵服务的方向,更好地发挥部队医院为兵服务保障能力,确保部队患者收治任务的完成,我院于2000年1月设立了军人病区和军人就诊接待室,成为医院专门集中收治部队患者的“院中院”。通过几个月的实践,取得了良好的效果。1　主要作法1.1　舍得投入,优化修养环境　作为部队医院,不但要在激烈的医疗市场竞争中创牌子,争效益,更重要的是充分体现姓“军”的本色,为兵提供优质的医疗服务。因此,医院集中财力在军人病区添置娱乐设备,建立了娱乐室和学习室,丰富了部队患者的文化生活,形成了治疗、管理、娱乐“一条龙…     

奇正消痛贴治疗急性闭合性四肢软组织损伤58例

奇正消痛贴是西藏宇妥藏药研究所根据藏医传统验方并结合多年临床实践，选用西藏高原特有的天然野生药材独一味、水柏枝等药材，应用现代超低温真空脱水冻干技术工艺精心研制而成的纯正藏药，具有较强的强筋骨、散瘀痛、祛风湿、除痿痹的功用。我们将其运用临床急性闭合性四肢软组织损伤，效果满意。现报告如下。     

儿科护士慎独教育与管理

目的:探讨儿科护士“慎独”精神的培养。方法:采取多渠道、多方式的监督、激励机制。结果:教育后与教育前相比儿科护士“慎独”精 神显著增强。结论:儿科护士“慎独”精神的培养势在必行。     

重度烧伤患者休克期血浆B型钠尿肽含量变化及意义

Objective To study the plasma content of B-type natriuretic peptide (BNP) in patients with severe burn during shock stage and probe its clinical significance. Methods Forty-two patients aged 18-60 years, with total burn surface area ≥30%TBSA or full-thickness burn area ≥10% TBSA, hospital-ized within 4 hours after burn, were divided into A group (with total burn surface area 30% -50% TBSA or full-thickness burn area 10% -20% TBSA, n = 21 ), and B group (with total burn surface area 50% TB-SA or full-thickness burn area > 20% TBSA, n = 21 ). Twenty patients admitted during the same time for plastic surgery were enrolled as control group. The plasma levels of BNP, creatine kinase (CK), CK-MB, troponin I (Tnl) of all patients were determined on admission. The levels of BNP, Tnl and fluid resuscita-tion volume were examined at 8, 16, 24, 48 post burn hour (PBH) in A and B groups. Analysis of correla-tion between BNP and fluid resuscitation volume was performed. Results On admission: BNP level in A group (68±19 ng/L) and B group (99±38 ng/L) , respectively, was increased as compared with that in control group (17±7 ng/L, P <0.01 ). Tnl level in A group (2.13±0.67 μg/L) and B group (2.98± 0.58μg/L), respectively, was increased as compared with that in control group (0.12 ± 0.03 μg/L, P < 0.01). There was no obvious difference in CK, CK-MB levels among A, B, and control groups ( P > 0.05). BNP levels in A, B groups continuously rose during 8 - 48 PBH, and they were positively correlated with fluid resuscitation volume. TnI level peaked at 24 PBH, and decreased at 48 PBH. Conclusions The plasma level of BNP is sensitive to reflect changes in myocardial ischemia and hypoxia as a rise in level of TnI in shock stage of severe burn, and it was positively correlated with fluid resuscitation volume. BNP can be used to guide fluid resuscitation during shock stage.