法国血液工作经验及启示

介绍了法国血液工作中的一些成功经验,提出借鉴其经验,探索建立集中化管理新模式,固定无偿献血队伍,建立血液预警系统,树立”医、教、研”三位一体的现代血液中心新形象。     

黄海波教授三紫汤诊治子宫性不孕经验浅谈

黄海波教授将子宫内膜息肉、子宫肌瘤、宫腔粘连等引起胞宫孕育失常所致的不孕统称为子宫性不孕。认为子宫性不孕可因“虚”、“实”致冲任失于温煦,胞宫胞脉失于濡养或闭阻,而难以摄精成孕。据《傅青主女科·种子篇》:“夫寒冰之地,不生草木;重阴之渊,不长鱼龙”;“下部冰冷不受孕”的记载,结合现代药理学研究成果,以自拟“三紫汤”疏、调、养为法以“暖宫助孕”,验之临床,疗效满意。     

完全型阴囊转位手术治疗改良的临床体会

目的：探讨改良Glenn-anderson术式在完全型阴囊转位患儿中的效果。方法对38例完全型阴囊转位患儿行Glenn-anderson术式过程中进行睾丸及鞘膜周围组织粘连松解。结果所有患儿术后外观满意,无明显并发症。结论改良Glenn-anderson术式治疗完全型阴囊转位,可使阴囊外观更加接近正常状态。     

Learning social determinants of health through a home visiting course in the clinical years

ObjectiveThe purpose of this study was to assess the impact of a new experience-based educational program aiming to teach social determinants of health (SDH) and health disparities, through a post-discharge home-visit conducted with patients recruited in hospital.Methods105 clinical-year students visited 177 patients living in disadvantaged circumstances. Their home-visit reports were analyzed employing mixed methodology. Content analysis was conducted for classifying issues raised by students, and quantitative analysis to compare reports by level of elaboration, gender and class.ResultsFifteen taxonomy items were identified. Social support and patients' medical conditions were most prevalent, followed by personal-related and community-related issues. Analysis demonstrated students' understanding of the relationship between SDH and patient health, and challenges patients face following discharge. Women and mixed couples provided more elaborate reports, which contained significantly greater critique of medical care.ConclusionsMeeting patients both in hospital and at home enhanced awareness of SDH. Students learned to view the patient comprehensively, and to understand the diverse factors affecting their health. Students, who had essentially sole responsibility for the home-visit, successfully integrated their skills to take action when needed.Practice implicationsThe ETGAR experience provided a means for effective learning about how social determinants impact on health.     

部分性脾动脉栓塞术治疗难治性血小板减少性紫癜并发脑出血3例体会

目的:探讨部分性脾动脉栓塞术(Partial splenic embolization,PSE)治疗难治性血小板减少性紫癜(Refractory purpura idiopathic thrombocytopenic,R-ITP)合并脑出血的临床应有价值。方法:对3例R-ITP合并脑出血患者进化部分性脾动脉栓塞术治疗,观察疗效。结果:3例均显效,随访至今无复发。并发症:3例均出现发热及穿刺处瘀斑,2例出现脾区疼痛及消化道反应。结论:部分性脾动脉栓塞术治疗R-ITP合并脑出血的重症患者疗效明显,且手术创伤小,安全性好,并发症少,值得临床应用推     

464名师专生的自我厌烦感及其应对方式

目的探讨师专生自我厌烦的内容指向、体验状态和应对方式。方法开放式调查和内容分析法。结果自我厌烦内容指向出现频次由高到低为:性格、学业、身体、交往、能力、家庭、经济、就业;体验状态频次排序为:消极心境、自我否定感、自我激励感、自我逃避感;应对方式频次排序为:逃避、问题解决、合理化、求助、忍耐、发泄。结论1师专生中性格自我厌烦最多,且女生多于男生;就业厌烦随年级升高而增多。2自我厌烦感的体验状态以消极心境和自我否定感出现较多,并随年级升高而增多;在应对方式上,采用逃避策略最多。     

护患沟通的技巧及体会

本文主要围绕初次见面、行为细节、谈话技巧及说服技巧等方面对护患沟通技巧进行分析,同时结合临床经验,就如何更好地做好护患沟通进行总结,如主动沟通、提高素质、善解人意及形象文明等,以利于增强护患沟通效果,加强与建立良好的护患关系,保证治疗顺利进行,更好地促进患者的健康。     

腹腔镜小儿疝修补术86例的手术配合

目的：探讨腹腔镜小儿腹股沟疝修补术的手术配合方法。方法：对86例腹股沟疝患儿行腹腔镜疝修补术。做好术前心理护理、器械准备,严格无菌技术操作及加强医护密切配合。结果：本组86例患儿术后恢复快,术后住院2～5d,平均3d。出院后随访3～24个月,无复发及出现其他并发症,患儿均获得满意治疗效果。结论：充分的术前准备,术中医护的密切配合是手术成功的关键。