ICGR15在肝癌切除术前评估肝脏储备功能的作用

Objective To evaluate the role of ICGR15 in assessment of hepatic functional reserve before hepateetomy for hepatocellular carcinoma.Methods From August 2005 to October 2007, six-ty-six patients with hepatocellular carcinoma were treated in our hospital.The patients were random-ized into Child-Pugh grading group (32 cases) and ICGR15 detection group (34 cases).Preoperative preparation,operative procedures and postoperative management were the same in all the 66 patients.The morbidity and mortality were compared and the relationship between Child-Pugh grading and ICGR15 in assessment of hepatic functional reserve was determined.Results The incidence of hepatic failure after hepatectomy in ICGR15 detection group(23.50%) was significanly lower than that in Child-Pugh grading group(34.4%).ICGR15 (14.38 ±8.2)% in patients with tumor of Child-Pugh grading B was higher than ICGR15 (7.84 ± 4.8)% in those with tumor of Child-Pugh grading A.Conclusion ICGR15 valuecan be more sensitive in evaluating hepatic functional reserve than Child-Pugh grading, but some correlation can be observed between them.ICGR15 is useful in assessing the range of liver resection and prognosis before hepatectomy for hepatocellular carcinoma.     

角色扮演式合作学习在护生礼仪培训中的效果评价

护士礼仪是护士在工作岗位上向患者提供护理服务时应严格遵守的行为规范,已成为21世纪护理人员必备的职业素质.目前用人单位在招聘护士时,不仅注重应聘者的技能操作,同时也注重其职业形象的表现[1].为提高护生对<护士礼仪与仪表>这门课程的重视与爱好,让学生今后从事临床护理工作和就业面试奠定良好的基础,我校在护理学基础实验教学中实施了角色扮演式合作学习,取得满意效果.现报告如下.     

肺结核防治常见的7个误区

3月24日是“世界防治结核病日”。肺结核是由结核分枝杆菌感染肺部引起的一种慢性呼吸系统传染病，严重威胁着人类健康。本文梳理了卡介苗接种、感染前驱症状、辅助检查到治疗、报销等环节常见的7个认知误区，希望通过科普肺结核防治知识，进一步提高居民健康素养水平。