尿道下裂成形术后并发症的临床分析

Objectives To study and analyze the cauge,rate and treatment for complications of hypospadi - as repair operations.Methods In the past 3 years,there were 19 patients with complications of hypospedias repair for 117 cases single - stage urethmplasty.The ages were from 1.5 to 24 years old,the mean Was 4.6.The classifica - tions were glans of penis 10,body of penis 5,serious hypospedias 4,includingpenoscrota,scrotal andperineal.The lengths of new urethras were from 1.2 to 4.4 cm,the mean was 2.6 cm.Results The rate of complications was 15.9%for 1～3 years following survey.There were urethral fistulas 11 cases(57.9%),urethral strictures 4(21.1%),diverticulumsl(5.3%),withdrawal of meatus 1(5.3%),chordees 1(5.3%),seriouS abnomal apperance of penis 1 cases(5.3%).The rate of urethral fistulas was the first and urethral stricture the second,they were higher than other complications signiflcantly(P相似文献   

57例地震伤员安全转运的护理体会

本文总结“4·20”芦山地震后57例伤员转运过程中的护理管理体会,转运前需充分准备,对现场伤员伤情进行评估和分类,转运途中加强监护,才能提高工作效率,保证伤员顺利安全地转运至目的地就医。     

尿道下裂成形术后并发症的临床分析

Objectives To study and analyze the cauge,rate and treatment for complications of hypospadi - as repair operations.Methods In the past 3 years,there were 19 patients with complications of hypospedias repair for 117 cases single - stage urethmplasty.The ages were from 1.5 to 24 years old,the mean Was 4.6.The classifica - tions were glans of penis 10,body of penis 5,serious hypospedias 4,includingpenoscrota,scrotal andperineal.The lengths of new urethras were from 1.2 to 4.4 cm,the mean was 2.6 cm.Results The rate of complications was 15.9%for 1～3 years following survey.There were urethral fistulas 11 cases(57.9%),urethral strictures 4(21.1%),diverticulumsl(5.3%),withdrawal of meatus 1(5.3%),chordees 1(5.3%),seriouS abnomal apperance of penis 1 cases(5.3%).The rate of urethral fistulas was the first and urethral stricture the second,they were higher than other complications signiflcantly(P相似文献   

参麦注射液治疗慢性肺心病的临床观察

[目的]探讨参麦注射液对慢性肺心病患者血液流变学及动脉血气的影响。[方法]选取慢性肺心病患者80例,随机分为2组:参麦组和对照组。分别在治疗前后测定血液流变学指标、动脉血气及住院时间,对两组结果进行比较。[结果]参麦组血液流变学指标均较对照组明显降低(P<0.05);动脉血气提示参麦组较对照组明显改善(P<0.05);参麦组住院时间较对照组缩短(P<0.05)。[结论]参麦注射液能通过降低血粘度,改善动脉血气指标,从而促进病人康复。     

宁夏35家公共场所集中空调通风系统卫生状况调查

目的探讨公共场所集中空调通风系统卫生状况。方法按照《公共场所集中空调通风系统卫生规范》的要求,对公共场所集中空调通风系统卫生质量进行现场卫生监督、监测。结果公共场所企业对集中空调通风系统卫生管理不到位,存在较多卫生问题:在空调送风检测、空调风管检测中,23家宾馆饭店可吸入颗粒物(RM10)超标52.17%,细菌总数超标100.00%;12家商场(超市)可吸入颗粒物(RM10)超标8.33%,细菌总数超标100.00%;空调冷却塔的冷却水中军团菌检出率为33.33%。结论加强公共场所集中空调卫生监督监测,进一步完善各企业内部的卫生管理,加强对集中空调通风系统的清洗消毒。     

多聚酶链反应检测老年人肺炎支原体的研究

目的探讨肺炎支原体(MP)与老年呼吸道感染的关系。方法应用多聚酶链反应(PCR)检测128例急性期老年患者痰和分泌物MP-DNA,其相应血清进行MP-IgM检测。结果128例急性期患者MP-DNA中有81例表达阳性,阳性率为63.28%(81/128),而血清学试验检测阳性率为28.13%(36/128),两者均阳性32例,两者均阴性58例,MP-DNA阳性而MP-IgM阴性38例,PCR法和血清学试验两者阳性符合率为39.51%。结论应用PCR方法检测急性期老年患者MP-DNA较血清学法更敏感,阳性率高。     

gyrA和parC介导的淋病奈瑟菌对环丙沙星耐药机制研究

目的探讨淋病奈瑟菌对环丙沙星的耐药机制。方法采用K-B纸片法检测27株淋病奈瑟菌的耐药率,PCR扩增gyrA和parC基因,测序分析DNA序列。结果27株淋病奈瑟菌对青霉素、四环素以及环丙沙星的耐药率均为100%,而大观霉素和头孢曲松100%敏感;DNA序列分析表明:环丙沙星耐药株均存在gyrA和parC基因的突变,其中gyrA基因的突变位点发生在第91位、95位氨基酸,parC基因的突变发生在第86位、87位、88位和91位氨基酸。结论淋病奈瑟菌的耐药与gyrA和parC基因突变有关。     

提按摇摆叩击法治疗胫腓骨中下段骨折77例报告

胫腓骨骨折占全身骨折的发生率为13.7%。^[1]但是由于胫骨中下三分之一交界处,是三棱形和四方形骨干的移行部,比较细弱,为骨折之好发部位,^[2]又因胫骨中段以下骨折,往往因局部血液供应不良,临床上较易发生迟缓愈合和不愈合。^[3][4]我们在治疗此类骨折时抓住手法复位首要环节——采用提按摇摆叩击法,临床观察77例无迟缓愈合和不愈合,全愈和显效为88.31%,好转为11.69%。     

19例输卵管积水经腹超声误诊原因分析

目的：提高输卵管积水的超声诊断准确率。方法：回顾分析经手术证实的19例输卵管积水病例声像图特征,总结并分析超声误诊原因。结果：输卵管积水声像图特征是子宫旁无回声暗区,呈腊肠样、串珠样、曲颈瓶样或囊肿样改变。结论：掌握妇科专科知识、认真寻找肿块与宫角关系及经腹经阴探头联合检查可提高输卵管积水的超声诊断的准确率。     

不同性别青年人体重指数对血压升高的影响研究

高血压是全球主要的公共健康问题,包括高血压在内的心血管疾病已成为我国首要的死亡原因,高血压和高血压前期是主要的危险因素,它们显著增加了心血管疾病的病死率[1-2]。体重指数(body mass index,BMI)的升高增加了高血压、脑中风和心肌梗死等心血管疾病发病的风险,BMI与血压升高所致的心血管疾病发病风险不尽相