行结肠造口术患者的护理

直肠癌是乙状结肠直肠交接处至齿状线之间的癌，是消化道常见的恶性肿瘤，治疗仍以外科手术为主。2000年1月-2004年12月，我院共行结肠造口术46例，由于结肠造口改变了原有的排便通道，给患者生活和心理带来了不便和压力，因此做好造口术后护理十分重要，现将护理体会总结如下。     

中西结合治疗重型溃疡性结肠炎

患者男，45岁，俄罗斯人水手长。因“腹痛伴恶心、呕吐、腹泻9天”于2002年3月30日入院。患者于9天前在航海途中出现腹痛，伴恶心、腹泻，船医开始怀疑是“细菌性痢疾”，予对症、支持治疗(药物不详)。病情无好转，且逐渐加重，腹痛呈全腹绞痛样，无放射痛，伴恶心呕吐，为胃内容物，每日3-4次，腹泻，水样带粘液便，每日6～8次，恶寒发热，遂考虑为“腹膜炎”，予庆大霉素、青霉素治疗，     

氟伐他汀对缺血性脑卒中患者的疗效观察及护理措施

Objective To explore the effect and nursing main points of fluvastatin on the patients with cerebral arterial thrombosis. Methods Eighty-five patients with cerebral arterial thrombosis were randomly divided into three groups. Group Ⅰ was the negative control group. Group Ⅱ was the conventional-dose therapy group and group Ⅲ was the high-dose therapy group. Each group was treated with related therapy and care. The blood lipids in all groups were tested before the treatment, 4 weeks, 12 weeks and 24 weeks after the treatment; the carotid intima-media thickness (IMT) were measured by the Germany SEQUOIAS-512-B ultra machine before the treatment and 24 weeks after the treatment; At the same time, the side effects of fluvastatin were recorded. Results The results of blood lipid tests showed that the LDL, TC and TG in two treated groups were significantly decreased compared to negative control group (P<0.05). After treated for 24 weeks, the carotid intima-media thickness (IMT) in two treated groups were significantly reduced (P<0.05); the side effects of fluvastatin were infrequent and there was no significant different among the three groups (P>0.05). Conclusion The effects of different doses of fluvastatin on cerebral arterial thrombosis were significantly different. With the dose of fluvastatin increased, the serum LDL-L and TC reduced more obvious and the inhibition on carotid atherosclerosis shows more obvious, and the side effects did not increased.     

应用Seldinger＇s技术治疗严重尿道狭窄12例报告

Selfinger’s技术是1953年Selfinger设计的循导引钢丝插入导管，使经皮穿刺法成为简便安全的动脉造影术。对12例尿道狭窄长度≤3mm，局部无明显瘢痕患者，常规行尿道扩张失败后，借助Selfinger’s技术扩张尿道取得满意疗效。     

永乐神功消痛袋（专利产品）

开办省、市、县直销站，免费提供1～6万元铺垫产品。每站就地招聘业务经理1名领办，高工资、重奖金、丰厚的业务提成等。     

鞘内注射新斯的明用于剖宫产术后镇痛的临床观察(附40例分析)

新斯的明(neostigmine,NEO)是一种胆碱酯酶抑制剂,经动物实验与人体研究证明,蛛网膜下隙应用NEO能抑制胆碱酯酶,激动胆碱能神经,释放乙酰胆碱(Ach)使其作用于脊髓灰质第5层的毒蕈碱受体,从而产生镇痛作用。本研究旨在观察硬膜外/脊麻时鞘内注入新斯的明后的镇痛作用。1资料与方     

拔牙后出现肺间质纤维化1例

患者，女，53岁，农民，既往体健，因需制做义齿，一次连续拔除3颗牙齿，术中应用较大剂量的普鲁卡因，术后应用青霉素抗炎，伤口愈合良好，但术后半个月患者渐感气短胸闷，活动后气短加重，静息状态下气短明显减轻，伴有咳嗽。无痰，偶有胸疼及乏力，无明显发热。当地反复抗炎治疗，气短渐加重，并伴有发热，T：38℃左右，于术后1．5月入院，查体：T：37℃，P：120次份，R：35次份，BP：130／80mmHg．     

熏洗治疗骨折后期肢端肿胀疗效观察

下肢骨折临床愈合后再发肢端肿胀,临床较为多见,自2000～2003年,我科采用<金匮要略>之伸筋草汤加味熏洗治疗骨折后期肢端肿胀90例,取得满意疗效,现总结报告如下.     

格拉司琼不同给药模式对曲马多镇痛病人胃肠动力的影响

盐酸格拉司琼是一种高效高选择性的5-羟色胺受体拮抗剂，它选择性地作用于5-羟色胺受体，从而有效控制和治疗恶心、呕吐。本研究拟对其对曲马多术后镇痛引起恶心、呕吐(PONV)的防治效果与氟哌利多进行比较，并观察其合理的给药模式。     

阻塞性黄疸术后肝衰的诊治(附15例分析)

<正> 我院从1980年～1991年3月,收治的113例阻塞性黄疸病人中,有15例病人术后发生肝衰,占13％(15/113),现分析如下: 临床资料一、一般资料:本组15例中,男5例,女10例。年龄34～72岁,50岁以上13例。病种与术式:十二指肠乳头肿瘤2例,行胆囊空肠Roux-y吻合术;胆总管结石伴化脓性胆管炎7例,行胆囊切除、胆总管切开取石、T管引流术。胆囊结石、胆总管下端开口结石嵌顿4例,行胆囊切除oddi括约肌成形术。肝内残石1例,行肝胆管盆空肠Roux-y吻合术;左肝伴胆总管结