超早期外科治疗高血压脑出血61例临床分析

对我科2002～12-2004-12收治的126例基底节区高血压脑出血患者发病后至手术时间对疗效的影响进行比较，报告如下。     

外科护理学教学中培养学生临床思维能力的探索

较好的临床思维能力是高护生综合索质的一个重要体现，也是一名优秀的临床护士必须具备的能力。在外科护理学教学中，通过改革课堂教学方法，注重实验教学，加强临床见习，变革考试形式，以培养和提高学生的临床思维能力。     

高压氧治疗手术后椎间盘炎1例

手术后椎间盘炎是脊柱外科手术后一种严重并发症，由于临床症状严重，治疗措施不理想，常给患者带来很大痛苦，临床中我们应用高压氧治愈2例（1例为脊柱滑脱手术后），特报告如下。     

北京同仁医院

首都医科大学附属北京同仁医院创建于1886年．具有117年悠久历史．是一所以眼科、耳鼻咽喉科和心血管疾病诊疗为重点的大型综合医院；眼科和耳鼻咽喉头颈外科是国家教育部重点学科。“同仁”的金宇品牌在海内外享有盛誉．被国家商标局认定为国内医疗服务业首家“驰名商标”。     

还原型谷胱甘肽联合甘草酸二铵对腹部开放伤后海水浸泡犬肝功能损伤的治疗作用

Objective To investigate effect of reduced glutathione and diammonium glycyrrhizinate on the treatment of hepatic damage in experimental dogs following open abdominal injuries coupled with seawater immersion. Methods Twenty-four dogs with open abdominal injuries were randomly divided into 3 groups: the control group (given with simple observation after 1.5 h seawater immersion); the routine treatment group (given routine care and fluid transfusion after 1.5 h seawater immersion) ; the hepatic treatment group (given routine are, fluid transfusion and hepatic treatment as well, after 1.5 h seawater immersion). Each group consisted of 8 dogs. Blood samples were taken at different time points to measure total bilirubin (TB), alanine aminotransferase (ALT), aspartate aminotransferase (AST), lactate dehydrogenase (LDH), prothromin time (PT), endotoxin, tumor necrosis factor-α(TNF-α), interleukin-6 (IL-6), and pathological examination was also made at the same time. Results For the control group, contents of TB, ALT, AST and LDH increased significantly and survival time was less than 24 hours. Contents of TB, ALT, AST and LDH of the routine treatment group also increased significantly, but survival time of all the experimental animals was mere than 24 hours. Reduced glutathione and diammonium glycyrrhizinate could reduce the extent of lesion quite significantly 12～24 hours following open abdominal injuries. Conclusions Reduced glutathione and diammonium glycyrrhizinate seemed to have good effects on the treatment and prevention against hepatic damage induced by trauma coupled with seawater immersion. It could be used as a primary means for the treatment of such kind of hepatic damage.     

丹尼尔皮肤消毒液用于外科洗手的临床评估

丹尼尔皮肤消毒液是一种速效、免水洗、无刺激的复合型消毒剂。2004年4月我院手术室开始试用丹尼尔外科刷手液和皮肤消毒液替代0·5%碘伏用于手术前手消毒,并根据卫生部2002年版《消毒技术规范》,消毒前后手指样本进行细菌培养与碘伏洗手比较,报道如下。1对象及方法1·1对象随机抽取手术室医师和护士160名,其中用刷手液和丹尼尔皮肤消毒液、0·5碘伏消毒者各80名。1·2方法(1)采样:受试者按《规范》用肥皂清洁双手>15mim,清洁毛巾擦干,左手手指并拢,用沾有无菌生理盐水的棉拭子,在五指屈面从指尖至指根往返涂抹两次,将棉拭子端折断置入培养…     

我的目标是挽救6000个孩子的生命——记第二届中国医师奖获得者邢泉生教授

邢泉生是地地道道的农家子弟，多病的童年激发起他对医生这个职业的伸往。从一名普通医生成长为山东省儿童心脏外科领域的领军人物，他始终怀着对百姓、对病人的赤诚之心——[编按]     

骨盆底肌的小秘密

背靠椅子站立，双手扶住椅背，腹部和大腿收紧。双脚脚跟并拢，提起脚跟，收缩会阴部位，然后放松。     

经尿道前列腺切除术后非失血性低血压相关因素分析及处理

失血是前列腺切除术引起低血压最常见的原因。随着外科技术的不断进步，经尿道前列腺切除术的失血量已明显减少，但在围手术期非失血性低血压发生率高，发展迅速，如不及时正确处理，会影响病人的恢复，甚至威胁生命。2002年1月至2004年12月，我院共实施前列腺切除术472例，其中经尿道前列腺切除术315例，前列腺开放性手术157例。32例术后发生非失血性低血压，现将其相关因素及处理分析如下。