地震伤患者医院感染目标性监测

对某院收治的50名地震伤员进行医院感染目标性监测，有效地预防与控制医院感染的发生。通过分类安置伤员，专人目标监测，严格执行消毒隔离制度及手卫生、标准预防措施等，将医院感染发生率降至最低：仅1例重症挤压伤者发生医院感染，医院感染率为2．00％。     

青少年学校归属感研究的现状与展望

<正>在心理学上,归属感(Sense of belonging)被认为是人类的基本需要之一。当人们体验到归属感时,会更加健康与快乐;相反,归属感得不到满足则会产生焦虑、     

46例首诊伴远处转移鼻咽癌的预后分析

Objective To retrospectively analyze the therapeutic results of patients with initially di-agnosed metastatic nasopharyngeal carcinoma (NPC). Methods From January 1995 to December 1998, 46 NPC patients with distant metastases were treated in Fujian provincial cancer hospital. Among these pa-tients, 43 were single site metastasis and 3 were multiple sites metastases;The site of metastasis were 19 pa-tients in the liver, 11 in the bone, 7 in the lung, 1 in the brain, 6 in mediastinal nodes and 6 in axillary lymph nodes. All patients received standard radiotherapy to the primary site and cervical node region with a median dose of 72 Gy. Forty-one patients (89%) received 1-5 cycles chemotherapy (cisplatin and 5-flu-orouracil), and 23 (50%) received palliative irradiation to the metastatic site. Results The median surviv-al time was 20 months. The 1-, 2-, 3-year and 5-year overall survival rates were 66%, 47%, 30% and 19%, respectively. Irradiation to the metastatic sites and KPS were the significant prognostic factors. Pa-tients with palliative irradiation to the metastatic site had longer survival than those without (39 months vs. 13 months, X2=8.63, P=0.012). Patients with good performance status (KPS≥80) had better outcomes thanthose with poor performance status (26 months vs. 12 months, X2= 3.95, P=0.035) . Conclusions Active therapy may prolong the survival of patients with initially diagnosed metastatic NPC, especially for those who have good performance status. Under systematic chemotherapy, radiotherapy to the primary site and supportive care, the palliative irradiation to the metastatic site may also yield a good result.     

肝静脉狭窄或闭塞型Budd-Chiari综合征的介入治疗

近年来应用介入放射学技术治疗Budd Chiari综合征取得了令人满意的临床效果 ,并已基本取代外科手术。但是 ,对肝内静脉分支和主干广泛狭窄或闭塞型Budd Chiari综合征 ,采用常规的球囊扩张、内支架置入等介入治疗方法效果不佳。我院于 1993年 5月～2 0 0 2年 10月应用经颈静脉肝内门体静脉分流术 ,治疗肝内静脉分支和主干均狭窄或闭塞的Budd Chiari综合征 9例 ,临床效果满意 ,现报告如下。1　临床资料1 1　一般资料　本组 9例 ,均经超声、CT和血管造影证实为肝内静脉分支和主干狭窄或闭塞型Budd Chiari综合征 ,男 6例 ,女 3例 ;年龄 2 1…     

额部扩张皮瓣的手术设计

目的 探讨额部扩张皮瓣的手术设计。方法 对121例额、颞部瘢痕、斑痣、血管瘤等皮肤病变切除后的患者采用额部扩张皮瓣进行修复，并比较滑行皮瓣、易位皮瓣及旋转皮瓣的手术效果。结果 115例患者取得良好的手术效果，修复后皮肤弹性良好、颜色较理想、瘢痕较细小；4例患者扩张皮瓣的远端有0．5～1．0cm的坏死，行Ⅱ期瘢痕切除缝合术；2例患者有单侧眉上提，半年后好转。结论 易位皮瓣术后瘢痕明显，尽量少用或不用；旋转皮瓣可以充分利用扩张后“过剩”的皮肤。是一种值得推广的额部皮瓣设计方法。对皮瓣的周密设计并了解不同皮瓣的优缺点。对手术效果及术后并发症的预防非常重要。     

肾移植5例体会

肾移植５例体会林志翔，钱伟纲，潘振邦，杨海，戴永涛广东湛江海军４２２医院（５２４００５）广州南方医院关键词肾移植；血液透析；环胞素Ａ我院自１９９２年以来进行５例尸体肾移植手术，现将一些经验及体会报告如下。１临床资料５例患者中男４例，女１例；年龄２２～...     

何首乌不同炮制品对小白鼠SOD及LPO水平的影响(简报)

<正> 本文比较了何首乌生品、新法炮制品及老法炮制品对小白鼠SOD及LPO水平的影响。一、实验材料1.何首乌原药材:购自南宁药材批发站。     

全国口腔医学美学师资培训班在沪举办

全国口腔医学美学师资培训班在沪举办由中华医学会医学美学与美容学会口腔学组和全国中等口腔医学教育校际委员会联合主办的首期《口腔医学美学》师资培训班暨教学研讨会，于１９９５年１１月２４～２９日在上海铁道大学医学院口腔系举办。来自全国部分高校口腔医学院（系...     

气管切开后两种气道湿化方法的实验比较

气管切开后两种气道湿化方法的实验比较潘亚菊气管切开后气道自身湿化作用明显降低甚至消失，造成管腔内分泌物粘结，阻塞管腔，影响正常的呼吸功能，同时还易导致细菌的侵入。实验证明，肺部感染率随着气道湿化程度的降低而升高。一般常用０．４５％的盐水气管内滴入，每...     

肾性蛋白尿中医病机及其方剂现代药理探索

本文就肾性蛋白尿的中医病机，从脏腑功能失调，湿热病邪的干扰，气滞血瘀阻肾络三个方面作了探索，并对其常用的现代方药之药理作用进行了探讨。内容有：（１）单味中药及部分方剂研究；（２）活血祛瘀剂；（３）清热利湿药；（４）益气活血，清热利湿药联合应用等。