苦参碱注射液合中药治疗瘀胆型肝炎疗效观察

瘀胆型肝炎可见于各种类型肝炎，以乙型肝炎病毒所致者常见，由于病程较长，黄疽较深，临床治疗颇为棘手。近年来，笔者应用苦参碱注射液合中药清热利湿、化瘀解毒之法治疗本病，取得了较好的疗效。现将结果报道如下：     

硬膜外阻滞复合异丙酚全麻在老年消化系统肿瘤手术中的应用

目的：研究硬膜外阻滞复合异丙酚全麻在老年消化系统肿瘤手术中的应用。方法：ASAⅡ～Ⅲ级、40例老年上腹部手术病人，年龄65～82岁．随机分为2组，Ⅰ组采用硬膜外阻滞复合异丙酚全麻；Ⅱ组采用静吸复合麻醉．观察麻醉、苏醒期间心率、血压、脉搏、血氧饱和度的变化和苏醒期苏醒质量及相关时间。结果：Ⅰ组围麻醉期血流动力学明显较Ⅱ组平稳，苏醒及清醒快，术后并发症少。结论：硬膜外阻滞复合异丙酚全麻可安全有效地用于老年上腹部手术的麻醉。     

肿瘤住院患者260例痰中病原菌的分布及药敏分析

目前痰标本的细菌学检查仍是了解呼吸道病原菌的重要手段。为了解肿瘤住院患者痰中病原菌的分布及其对药敏试验的情况，为临床治疗提供有力的参考依据，作者在临床工作期间对怀柔区第一医院2005年2月至2006年12月肿瘤住院患者的痰标本细菌培养及药敏实验结果进行分析，现将结果报告如下。     

星状神经节阻滞用于治疗糖尿病初探

探讨星状神经节阻滞治疗糖尿病( 1 ) ,结果 :使患者的血糖、血脂接近正常。结论 :星状神经节阻滞治疗糖尿病是一种快捷有效的新途径     

手动吸痰器在院前急救中的应用

目的探讨在社区使用手动吸痰器对院前急救的意义。方法2005年10月～2006年12月在院前急救中使用手动吸痰器30例。结果27例能有效清除呼吸道分泌物，时间1～20分钟，3例因痰液粘稠度大改用电动吸痰器。结论手动吸痰器在院前急救中切实可行，特别在社区，适用于分泌物较稀的患者。     

Effect comparison between sacral blocking and massage combined with traction on protrusion of lumbar intervertebral disc

Background:Epidural injection is an important method in treatment of protrusion of lumbar intervertebral disc.Especially in the recent decade sacral injection is adopted more and more often.Objective:To compare the clinical effects of sacral blocking and massage combined with traction.Unit:Yinhe Hospital of Beijing.Subjects:290 outpatients with grade Ⅱ of ASAI were selected from May,1994 to July,2000.Patients were randomly divided into observation group(n=145)and control group(n=145).Sacral blocking was adopted in observation group and 80 males and 65 females aged 20-78(mean:46.4)years old were included with disease course 3 days to 30 years.Massage combined with treaction was adopted in control group and 74 males and 71 females aged 22-74(mean:44.9)years oled were inmcluded with disease course 2 days to 10 years.Interention:Sacral blocking:Operation was according to sacral blocking and druge(dexamethasone injection,2 mg;0.75% bupivavaine hydrochloride,5 ml;saline,50ml) were injected slowly after success of puncture.Patient rested for 0.5h after injection and left treatment room if no adverse effects occurred.Massage combined with traction:Massage was adopted after traction to every patients.(1)Massage:Patient was seated at square stool and lower limbs separated naturally with same width of shoulders.Doctors sit behind patient.First,thubs of both hands were pressed on projecting part near spinous process(pressing points were selected according to different projecting part).Flexing and extending forward and backward were taken at the same time and extent was ddecided addording to patients‘ maximal endurable degree,5-10 timmes.Upper part of body was turned 45 degrees to left and right.Massage was still taken to affected part,3-t times.(2)Traction:Pelvis was extracted with general physical therapy and massage table.Supine position,chest and treaction bandage were fixed,tractiron wheel was turned slowly until patient felt comfortable with maximal endurance as limit(traction force,20-40kg),After extracting for 5 minutes,massagee switch was turned on to take rolling massage to bck and both lower libmbs.Traction force was increased every5 minutes and limit was still according to patient‘s maximal endurance,30 minutes for every time,once a day and ten times as a therapeutic course.Cohclusion:Effect of sacral blocking on protrusion of lumbar intervertebral disc was positive and fewer therapeutic time were needed.Massage combined with traction was also effective,safe and no adverse effects wer observed,but more therapeutic times were neeeded and inconveinient.     

硬膜外阻滞并静脉复合麻醉用于宫颈癌根治术的临床观察

目的：为宫颈癌根治手术选择最佳麻醉方案和术后镇痛方法。方法：对宫颈癌根治手术病人采用硬膜外并静脉复合联合麻醉。结果：麻醉效果确切，有效，肌松满意，术后镇痛效果好，并发症少。结论：在宫颈癌根治手术中采用硬膜外阻滞并静脉复合麻醉具有作用互补、单位用药量减少及麻醉副作用小等优点。     

蛛网膜下腔阻滞护理配合技巧

蛛网膜下腔阻滞简称“腰麻”，是临床最常见的麻醉方法之一，主要用于体格条件较好的病人行部位较低、时间较短的手术，下肢、会阴、肛门、直肠以及泌尿器的手术最为适合。手术室护士在麻醉过程中担负着大量护理配合工作，因此，手术室护士不仅要了解和熟悉腰麻的基础知识，还要掌握各种护理配合技巧。