自制约束带在老年痴呆患者中的应用

随着我国步入老龄化社会 ,老年人的不断增加 ,老年痴呆的发生率越来越高。为了适应社会的发展 ,我院成立了痴呆病房。在临床实践中 ,为防止痴呆、烦燥不安等患者 ,因意识不清而出现坠床、撞伤、抓伤等意外而加重病情 ,甚至危及生命。我们采用了几种约束带对患者进行必要的保护     

流行性腮腺炎合并急性胰腺炎10例分析

流行腮腺炎在临床上是一种常见的儿童和青少年中常见的呼吸道传染病，成人中也有发病。流行性腮腺炎病毒主要浸犯腮腺，也可浸犯各种腺体组织或神经系统及肝肾心关节等几乎所有的器官，可引起脑膜炎，胰腺炎，睾丸炎，卵巢炎^[1]。近年来，在广东省东莞地区流行性腮腺炎病毒导致的病毒性急性胰腺炎的发病率有增加的趋势。由于流行腮腺炎并发急性胰腺炎，常使患者的病情变得复杂、严重，偶有危及患者的生命，现就本院近3年来收治的流行性腮性炎合并急性胰腺炎患者，共计10例进行临床总结分析如下。     

人免疫缺陷病毒感染的皮肤表现

人免疫缺陷病毒(HIV)感染者的皮肤表现高达92%。其病谱包括急性HIV皮疹,多种感染,肿瘤及其它皮肤病。本文对HIV感染相关的各种皮肤表现作了详细介绍。     

多巴胺与速尿在急性肾功能衰竭中的应用

Henderson 及其同事指出;“对于甘露醇或大剂量速尿利尿失败的病人,采用小剂量多巴胺静滴,可预防少尿和早期急性肾小管坏死。”     

普鲁卡因治疗老年人肺结核大咯血

1980～1989年12月,我院传染科采用普鲁卡因治疗老年人肺结核大咯血38例,疗效满意,现报告如下。临床资料一、病例选择 (1)病例均为我院住院病人,年龄60～75岁,共计72例,其中男49例,女23例。入院前24小时内咯血量均大于500ml。(2)按照随机原则分为治疗组和对照组。2组年龄、性别、病程、病型及合并症,经统计学处理,无显著性差异(P>0.05),具有可比性。     

Clinical manifestations of AIDS with cryptococcal meningitis

Objective To increase the awareness of AIDS with cryptococcal meningitis. Methods Eighteen cases of confirmed AIDS with cryptococcal meningitis in the Bata Region al Hospital, Equatorial Guinea from January 1997 to November 1999 were analyzed . Results The clinical manifestations of the 18 cases were: insidious onset, fever, severe headache, generalized pain, nausea and vomiting, weight loss and dehydration, a nd enlarged cervical lymph nodes. Boa’s and Cullen’s signs were positiv e. The positive rates of cerebrospinal fluid (CSF) India ink stain and the poly saccharide capsule antigen (ELISA) were 77. 8% and 99. 4%, respectively. The po sitive rate of CSF culture of cryptococcus was 100%. The mortality rate was 83 . 3%. Conclusion Cryptococcal meningitis is the most common opportunistic infection and one of th e major causes of deaths in AIDS patients. The misdiagnosis and mortality rates were very high and could be explained by a lack of awareness for the occurrence of AIDS with cryptococcal meningitis, late presentation, serious illness and se vere complications, and delayed and inadequate therapy.