考前家长要对孩子适度“冷淡”

炎炎夏日,又迎来了学生们的考试季,不少家长可能比孩子们更加紧张,照顾更加无微不至,其实这样会让子女们的压力更大。过度关注考试的家长们,要提醒您的是,对孩子们要适度"冷淡",给他们一定的空间,这样才能真正帮助他们度过考试关。学会适度"冷淡",过分照顾有害无益考前家长不要过多地叮嘱孩子,唠叨会让人生烦,从话语上应适度地"冷淡"孩子。这种"冷淡"并非对孩子漠不关心,而是避免关切过度给孩子带来压力。应尽量让孩子自己完成考前的准备工作,可以找个机会自然地帮孩子检查一下考试必备物品,如准考证、文     

双腔气囊导尿管致尿道损伤的治疗体会(附24例报告)

目的:总结分析双腔气囊导尿管致男性尿道损伤的原因和治疗体会,探讨其预防措施.方法:我院收治的24例双腔气囊导尿管致尿道损伤患者均采用F18～F20 Foley三腔导尿管重新置管导尿,同时对患者根据具体症状给予止血、对症和预防感染治疗.结果:23例患者治愈,恢复良好,可自行排尿.1例患者出院后出现尿道狭窄,经定期扩张尿道好转,其余患者均未留下明显的后遗症.结论:医护人员熟悉尿道的特点,了解双腔气囊导尿管的内部结构,同时严格操作规范,掌握正确的插管、拔管方法,加强对患者的健康教育,可有效预防双腔气囊导尿管致尿道损伤的发生.患者尿道损伤后及时治疗可以预防尿道狭窄等并发症的发生.     

调理“食经”益健康

医圣张仲景所说：“若得相宜则益体,害则成疾”。因此,我们必须合理配膳,做到食饮相宜,调理脾胃,防病治病。     

乳腺癌、鼻咽癌患者饮食有讲究

乳癌饮食要分期 化疗期：滋补饮食提高抗病力。病人进行放化疗时,消化功能较弱,饮食应以粥类为主,少食多餐。如排骨海带汤、乌鸡滋补粥、莲子百合桂圆粥、山药薏米红枣粥、红枣银耳羹等。如果出现白细胞减少、脱发等症状,应进食瘦肉、鱼、河蟹、牛肉、牛奶、红枣、红小豆等。如出现便秘,应多吃蔬菜,如芦笋、红薯、海带;海藻、蘑菇等。     

心血管病老人过冬春季节悠着点

冬春季节，冷空气频繁袭击。心血管疾病的发病率较夏天明显攀升，尤其是一天中的气温变化能相差十几多度。很多人身体耐受不了。医学专家提醒．这时候一定要注意防寒保暖，尤其是对患有慢性病的老年人。     

大黄芒硝外敷联合护理干预预防剖宫产切口脂肪液化临床研究

目的 观察大黄芒硝外敷联合护理干预对剖宫产切口预防脂肪液化的临床应用效果。方法 选取2019年1月—2020年12月收治的100例剖宫产切口脂肪液化患者作为试验对象,按照辅助性治疗环节所用护理方法不同,等分为观察组和对照组,观察2组的临床应用效果。结果 观察组护理满意度96.00%(48/50)显著高于对照组的护理满意度78.00%(39/50),差异有统计学意义（P<0.05）。观察组和对照组在中医症状评分、负性情绪评分、经济压力评分结果分别为（0.38±0.06）分和（3.15±0.84）分、（0.09±0.02）分和（2.43±0.29）分、（0.14±0.08）分和（3.37±0.16）分,差异有统计学意义（P<0.05）。结论 大黄芒硝外敷护理干预对剖宫产切口脂肪液化的临床应用效果突出,具有极高的临床护理满意度结果,且能显著改善患者预后,可在后续患者的治疗实践中大力推广实施。     

输尿管镜下经尿道气压弹道碎石治疗上尿路结石并发急性梗阻性肾功能衰竭32例

目的：探讨输尿管镜下气压弹道碎石治疗上尿路结石并发急性梗阻性肾功能衰竭的有效性和安全性。方法：回顾分析上尿路结石并发急性梗阻性肾功能衰竭输尿管镜下气压弹道碎石的患者资料。结果：术后患者血清BUN、Cr均恢复或接近正常,尿量恢复,结石排净率92．6％。结论：输尿管镜下气压弹道治疗上尿路结石并发急性梗阻性肾功能衰竭具有安全、疗效可靠、损伤小、能同时处理双侧输尿管病变的优点,可作为急性梗阻性肾衰竭的首选方法。     

无张力腹股沟疝修补术285例报告

目的:总结无张力疝修补术治疗腹股沟疝285例的近期治疗效果.方法:对本院使用美国Bard公司的疝环充填物及网状补片治疗的 285 例腹股沟疝的手术方法、时间、术后患者疼痛、住院时间、复发率进行回顾分析.结果:与传统疝修补手术相比,无张力疝修补术具有方法简便、手术指征广、术后疼痛轻、恢复快、并发症少和复发率低的优点.结论:这是一项更符合人体解剖结构和疝的病理生理的手术方法,具有传统方法无法比拟的优势,临床效果非常满意.     

Monaco放疗计划系统的金标准射束模型临床应用可行性分析

Background and purpose: Accelerated go live (AGL) is the entire management process for medical accelerators from installation, commissioning, modeling to radiotherapy implementation. Compared with the traditional time-consuming accelerator acceptance process, AGL has established a set of gold standard models based on the big data of thousands of medical accelerators, which makes the accelerator installation greatly optimized in the data acquisition and modeling stage. This study aimed to evaluate and verify an efficient beam modeling method for Monaco treatment planning system (TPS) using golden beam data (GBD). Methods: Two Elekta Infinity™ linear accelerators with agility head in the Department of Radiation Oncology, Fudan University Shanghai Cancer Center, were installed and matched with the GBD. Then, a customer acceptance test (CAT) and beam model validations were performed on measured percentage depth dose (PDD) and profile for open-field (OF) point-doses in a three-dimensional water tank. Furthermore, a total of 16 clinical cases from different sites were used for radiotherapy planning design, measurement and dose analysis to validate and verify the accuracy of the beam model. Results: For beam model verification, the agreement of all validation PDD and profile was larger than 90%, and the majority point passing rate was larger than 95% (99.4% for linac 1 and 98.5% for linac 2). For point-dose validation, 96.8% and 97.2% of OF point measured were found to be within 2% agreement of TPS-calculations for linac 1 and linac 2, respectively. The deviation of R50 and R90 between TPS calculation and measured were within 3 mm at all evaluated points of electron beam. The Gamma passing rate for all plans was greater than 90% when using 3%/3 mm criteria, and point-dose agreement was within 3%. Conclusion: Compared with the traditional accelerator process from installation to commission, the Monaco TPS modeling process AGL based on GBD can not only ensure the model accuracy, but also shorten the entire process time, which has the feasibility of clinical application. © 2023, Editorial Office of China Oncology. All rights reserved.     

单侧翼内外肌群创伤性骨化肌炎1例报道

创伤性骨化肌炎(myositis ossificans traumatica, MOT)是一种少见的非肿瘤性疾病,多由创伤导致肌肉或软组织内出现异位成骨[1].颌面部 MOT 多表现为严重的功能障碍,如张口受限、肌肉麻木、疼痛等.国内近 20 年来仅报道 1 例累及咀嚼肌的MOT[2],目前尚无累及多个咀嚼肌的病例报道.本文总结 1 例同时累及左侧翼内肌、翼外肌 MOT 诊疗情况,现报道如下.