探究卵巢子宫内膜异位囊肿术后复发的处理措施

目的探究卵巢子宫内膜异位囊肿术后复发的处理措施,总结卵巢子宫内膜异位囊肿术后的临床经验以供参考。方法随机选取2015年3月至2017年3月本院妇科收治的确诊为卵巢子宫内膜异位囊肿患者90例作为研究对象,根据术后治疗方式不同分为三组,各30例,西医组给予西药治疗,中医组给予中药治疗,联合组采用中西医结合方式治疗,比较治疗效果。结果中西医结合组并发症仅发生1例,发生率(3.33%)明显较低,西医组复发率为20.0%,中医组复发率为20.0%,中西医结合组复发率为0.00%,前两组与中西医结合组比较,P0.05,差异具有统计学意义。结论在对卵巢子宫内膜异位囊肿患者术后治疗的过程中,可采用中西医结合疗法,能够有效地降低并发症发生率和疾病复发率,值得进行广泛的推广。     

甘露醇致急性肾衰竭11例原因分析及防治对策

甘露醇是常用的降低颅内压药物,但静脉应用甘露醇也可引起急性肾衰竭(acute renal failure,ARF),严重者可危及生命.本文报告11例应用甘露醇治疗颅内高压病人所致的ARF,并对其发牛机制、预防、治疗加以讨论.     

薄层CT图像在肾癌诊断和分期中的价值

目的：探讨薄层（1.5mm）螺旋CT图像在肾癌术前诊断和分期中的价值。方法：选择32例经手术病理证实为肾癌的病例,将其薄层CT图像和常规层厚CT图像与病理结果进行回顾性对比分析。结果：常规层厚CT图像组术前CT分期正确率为75.0%。薄层CT图像组术前CT分期正确率为90.6%。薄层图像对于肾癌分期及肾癌内组织性质的判断更加准确。结论：薄层CT图像能更加清楚地显示肾癌的组织、大小、范围及淋巴、肾筋膜囊及周围脏器受累情况,并且用于术前诊断及分期较常规图像更加准确。     

骨科患者睡眠状况调查及影响因素分析

目的了解骨科患者的睡眠状况,找出影响睡眠的相关因素,以便制定更好的护理措施。方法采用描述性研究,应用Athens失眠量表和自制影响睡眠因素、患者基本资料调查表,对60例骨科患者进行问卷调查。结果53.3%的患者失眠,26.7%的患者可疑失眠。造成骨科患者失眠的主要因素有疼痛,其他患者的影响,夜间查房及治疗,环境的改变和非医源性噪声等。在经济状况、术后止痛泵的应用、病室床位数、术后自理情况方面,患者的睡眠得分间差异有统计学意义。结论骨科患者的睡眠状况较差,应加强骨科患者的睡眠护理,提高其睡眠质量。     

急性白血病系列特异性抗原表达分析

Objective To investigate the differential expression of serial specific antigens in patients with acute leukemia(AL)and its clinical significance.Methods Multi-parameter flow cytometry and CD45/SSC gating were used to analyze the surface and cytoplasmic antigen expression in juvenile cells of 183 AL patients.Results CD13,CD33 and CD117 were the most commonly expressed surface antigens in acute myeloid leukemia(AML)patients(95.0%,95.7%and 81.4% respectively).The specificity of CD117 was higher than that of CD13 and CD33(P＜0.01).There were no significant differents in sensitivity and specificity between cytoplasmic antigen MPO and surface antigen CD117(P＞0.05).In B-lineage acute lymphocytic leukemia(ALL),the sensitivity of CD19 was higher than CD20,but the specificity was similar tO CD20.cCD79a showed high sensitivity and specificity.In T-lineage ALL,the sensitivity of CD7 was high(95.0%),but the specificity was low(70.8%).But the sensitivity and specificity of cCD3 was 85.0% and 95.7% respectively.Conclusion Muli-parameter flow cytometry is a reliable technique in monitoring the expression of lineage-related surface/cytoplasmic antigens in the diagnosis of acute leukemia.     

急性白血病系列特异性抗原表达分析

Objective To investigate the differential expression of serial specific antigens in patients with acute leukemia(AL)and its clinical significance.Methods Multi-parameter flow cytometry and CD45/SSC gating were used to analyze the surface and cytoplasmic antigen expression in juvenile cells of 183 AL patients.Results CD13,CD33 and CD117 were the most commonly expressed surface antigens in acute myeloid leukemia(AML)patients(95.0%,95.7%and 81.4% respectively).The specificity of CD117 was higher than that of CD13 and CD33(P＜0.01).There were no significant differents in sensitivity and specificity between cytoplasmic antigen MPO and surface antigen CD117(P＞0.05).In B-lineage acute lymphocytic leukemia(ALL),the sensitivity of CD19 was higher than CD20,but the specificity was similar tO CD20.cCD79a showed high sensitivity and specificity.In T-lineage ALL,the sensitivity of CD7 was high(95.0%),but the specificity was low(70.8%).But the sensitivity and specificity of cCD3 was 85.0% and 95.7% respectively.Conclusion Muli-parameter flow cytometry is a reliable technique in monitoring the expression of lineage-related surface/cytoplasmic antigens in the diagnosis of acute leukemia.     

外固定支架结合锁定加压钢板治疗不稳定骨盆骨折的护理

对16例骨盆骨折患者行外固定支架结合锁定加压钢板术。结果 16例手术顺利,术后并发针道感染3例,给予针道护理及抗感染治疗后均治愈,患者平均住院21.0d出院。随访18个月,12例患者恢复良好,3例感骶髂关节不适或疼痛,1例出现男性性功能不全。提出严密监测生命体征,预防和减少并发症是手术成功的关键步骤,而术后正确的功能锻炼是患者功能恢复的重要措施。     

天津地区耐甲氧西林金黄色葡萄球菌基因分型研究

MRSA已成为引起感染的主要病原菌,可导致各种感染.但是近年来MRSA出现了快速的进化演变,其感染不仅限于医院感染,且开始出现在社区感染中,称之为社区获得性MRSA(CA-MRSA).它的不断出现以及所引起的致死性疾病严重威胁人类健康.目前MRSA耐药严重,呈多重耐药性,特别是近年来出现万古霉素中介(VISA)或耐药(VRSA)的金黄色葡萄球菌,MRSA的感染已成为伞球公共卫生问题之一.因此,掌握MRSA的分子特征对于有效控制感染及鉴别菌株的相关性十分重要.为此本研究采用葡萄球菌盒式基因(SCCmec)多重PCR分型技术和多位点序列分型(MLST)技术,对天津地区4所医院分离出的104株MRSA菌株进行基因分型研究,以了解这些菌株的基因分型特征.