护士工作站计算机操作发生漏费的原因及防范对策

我院自2000年6月1日起正式运行的"军卫一号工程"给医疗及护理工作带来了很大便利:包括书写病历、医嘱下达、检查化验、医嘱转抄执行、计价收费、出院结算等,摆脱了繁琐的手工操作,进入了微机化管理时代,大大提高了工作效率及护理质量.在两年来的实践工作中,我们体会到:护士工作站在提取的医嘱处理中,如不认真进行核对,补充计价,会出现严重的漏费现象,因此,护士在处理医嘱时,要认真负责,严格核对计价属性,同时进行补充计价,否则会给医院带来严重的经济损失.本文对两年来实践中所遇到的漏费原因及对策总结如下.     

子宫背带式缝合术在剖宫产产后出血中的临床应用

目的:探讨子宫背带式缝合术在治疗剖宫产后子宫收缩乏力性出血的临床疗效。方法:于2010年1月-12月期间在我院生产的1321例产妇中,其中剖宫产548例,在剖宫产术中发生子宫收缩乏力性出血的12例行子宫背带式缝合术。结果与结论:行子宫背带式缝合术产后出血明显减少,无1例因血液循环不良或再出血而再次手术或子宫切除,无并发症。子宫背带式缝合术具有操作简单、止血迅速、保留子宫、无并发症等优点,是治疗剖宫产产后出血的外科止血方法。     

河南汉族动脉硬化性脑梗死人群血小板膜糖蛋白HPA-2基因多态性检测

目的:探讨河南汉族人群中血小板膜糖蛋白Iba(GPIba)基因HPA-2多态性与动脉硬化性脑梗死(ABI)的关系。方法:采用PCR-限制性片段长度多态性(PCR-RFLP)方法检测436例河南汉族ABI患者和549名正常对照者GPIbaHPA-2位点基因型及等位基因频率。结果:在河南汉族人群中ABI组HPA-2的a/a和a/b基因型频率分别为90.1%和9.9%,未发现b/b基因型;2组间3种基因型和等位基因频率差异均无统计学意义(P>0.05)。结论:GPIbaHPA-2多态性可能与河南汉族人群ABI的发生无关联性。     

有边型美皮康防治压疮的疗效观察

压疮是局部软组织持续受压,导致组织细胞缺血,缺氧坏死引起的皮肤缺损.亦是临床上最常见的并发症之一.一但发生压疮,不仅给病人带来痛苦,增加医疗费用,延长住院天数,还会发生感染甚至危及生命.美皮康是一种无菌粘性的敷料,能够保持伤口湿润环境,利于在湿度、温度和PH值方面加速瘢痕的形成,促进伤口愈合,有效的防治压疮的发生.它能加快受压部位的皮肤血液循环,改善局部充血状况;它的背衬光滑防水、透气,特别是对于受压部位的皮肤,美皮康本身也起着屏障作用,减轻局部皮肤的剪切力和摩擦力.2009.3-2012.3我科使用美皮康预防和治疗压疮患者,取得了良好的疗效.     

人胚胎背根神经节雪旺氏细胞的培养

BACKGROUND： Previous studies have used many methods for in vitro Schwann cells （SCs） cultures and purification, such as single cell suspension and cytosine arabinoside. However, it has been difficult to obtain sufficient cellular density, and the procedures have been quite tedious. OBJECTIVE： To investigate the feasibility of culturing high-density SCs using fetal human dorsal root ganglion tissue explants. DESIGN, TIME AND SETTING： Cell culture and irnmunohistochernistry were performed at the Central Laboratory of Kunrning General Hospital of Chinese PLA between March 2001 and October 2008. MATERIALS： Culture media containing 10% fetal bovine serum, as well as 0.2% collagenase and 0.25% trypsin were purchased from Gibco, USA; mouse anti-human S-100 monoclonal antibody and goat anti-mouse IgG labeled with horseradish peroxidase were provided by Beijing Institute of Biological Products, China. METHODS： Primarily cultured SCs were dissociated from dorsal root ganglia of human aborted fetuses at 4 6 months pregnancy. Following removal of the dorsal root ganglion perineurium, the ganglia were dissected into tiny pieces and digested with 0.2% collagenase and 0.25% trypsin （volume ratio 1：1）, then explanted and cultured. SC purification was performed with 5 rnL 10% fetal bovine serum added to the culture media, followed by differential adhesion. MAIN OUTCOME MEASURES： SCs morphology was observed under inverted phase contrast light microscopy. SC purity was evaluated according to percentage of S-100 immunostained cells. RESULTS： SCs were primarily cultured for 5 6 days and then subcultured for 4 5 passages. The highly enriched SC population reached 〉 95% purity and presented with normal morphology. CONCLUSION： A high purity of SCs was obtained with culture methods using human fetal dorsal root ganglion tissue explants.     

肿瘤治疗患者的前瞻性研究

年龄是肿瘤发生的一个危险因素。大约５５％的肿瘤患者超过６５岁，而且６０％与肿瘤相关的死亡发生在这一年龄组。老年人经常由于年龄原因被拒绝进行肿瘤治疗。作者进行这方面的前瞻性对比研究来比较７０岁以上和７０岁以下两个年龄组肿瘤患者的临床特点和治疗。方法　作者选择１９９２．０６～１９９４．０９月间４００例肿瘤患者进行对比研究。在青年和高龄患者间比较根据Ｚｕｂｒａｌ标准的一般状况相关的慢性病，初发症状至肿瘤诊断的间隔；疾病分期（根据ＴＮＭ系统），辅助治疗和姑息治疗。结果　５４例７０岁以下患者（２５．５％）…     

A Dynamic Epidemiological Study of Pathogenic Fungi in China

ＡｎａｎｎｕａｌｄｅｃａｄｅｅｐｉｄｅｍｉｏｌｏｇｉｃａｌｓｔｕｄｙｏｆｐａｔｈｏｇｅｎｉｃｆｕｎｇｉｏｆｐａｔｉｅｎｔｓｉｎＣｈｉｎａｉｎｃｌｕｄｅｓｔｈａｔｏｆｏｖｅｒ２５ｐｒｏｖｉｎｃｅｓｉｎＣｈｉｎａｄｏｎｅｄｕｒｉｎｇ１９８６ａｎｄ１９９６...     

夏季家庭药膳

祖国医学在养生上非常重视气候变化与人体之间的关系。夏天食补分两补:一是初夏天气炎热,人喜凉,在五脏属心,适宜清补。二是长夏,在五脏属脾,适宜淡补。 初夏万物竟荣,此时时鲜新物