排序方式: 共有12条查询结果,搜索用时 15 毫秒
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完善急救医疗服务体系的思考 总被引:2,自引:0,他引:2
院前急救、院内急诊急救和重症监护治疗是生命支持治疗连续体中的三个重要环节,彼此密切相关,缺一不可。由此三者构成的急救医疗服务体系是生命救治的绿色通道,其服务质量已成为一所医院医疗能力与管理水平的综合体现。充实和完善急救医疗服务体系,是我国急诊急救医学发展的重要方向,也是和平时期我军卫勤保障准备的有效途径。 相似文献
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补气补血方剂对创伤应激鼠的调理作用 总被引:4,自引:0,他引:4
目的 观察补气补血方对创伤鼠应激反应的影响,探讨作用机理。方法 随机将小鼠分为正常、对照、治疗1组(当归)、治疗2组(大黄)和治疗3组(当归+大黄)。治疗及对照级落体撞击法造成双侧股骨闭合性骨折,并2次/d胃灌入中药或生理盐水,伤后第1、2、5d取血放免法测定血β-内啡肽、皮质醇含量。以上各组均于第5d测脾淋巴细胞对PHA的增殖反应。结果 治疗1、3组脾淋巴细胞对PHA的增殖反应较对照组明显改善(P<0.01),治疗1组血β-EP、Cor升高得到控制,(P<0.05);治疗2组PHA无明显改善,血Cor抑制,β-EP逐步升高;治疗3组以上应激素变化较2组缓和。结论 以补气补血为主的扶正方剂,可通过双向调节作用,改善机体对创伤应激的反应。 相似文献
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BACKGROUND: Previous studies have used many methods for in vitro Schwann cells (SCs) cultures and purification, such as single cell suspension and cytosine arabinoside. However, it has been difficult to obtain sufficient cellular density, and the procedures have been quite tedious. OBJECTIVE: To investigate the feasibility of culturing high-density SCs using fetal human dorsal root ganglion tissue explants. DESIGN, TIME AND SETTING: Cell culture and irnmunohistochernistry were performed at the Central Laboratory of Kunrning General Hospital of Chinese PLA between March 2001 and October 2008. MATERIALS: Culture media containing 10% fetal bovine serum, as well as 0.2% collagenase and 0.25% trypsin were purchased from Gibco, USA; mouse anti-human S-100 monoclonal antibody and goat anti-mouse IgG labeled with horseradish peroxidase were provided by Beijing Institute of Biological Products, China. METHODS: Primarily cultured SCs were dissociated from dorsal root ganglia of human aborted fetuses at 4 6 months pregnancy. Following removal of the dorsal root ganglion perineurium, the ganglia were dissected into tiny pieces and digested with 0.2% collagenase and 0.25% trypsin (volume ratio 1:1), then explanted and cultured. SC purification was performed with 5 rnL 10% fetal bovine serum added to the culture media, followed by differential adhesion. MAIN OUTCOME MEASURES: SCs morphology was observed under inverted phase contrast light microscopy. SC purity was evaluated according to percentage of S-100 immunostained cells. RESULTS: SCs were primarily cultured for 5 6 days and then subcultured for 4 5 passages. The highly enriched SC population reached 〉 95% purity and presented with normal morphology. CONCLUSION: A high purity of SCs was obtained with culture methods using human fetal dorsal root ganglion tissue explants. 相似文献
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昆明市周边高速公路交通伤特点及院前抢救疗效分析 总被引:3,自引:2,他引:1
目的:回顾我院2006~2007年高速公路创伤救治情况,对损伤特点及救治疗效进行归纳总结.方法:规范院前 - 院内急诊救治方案;统计救治疗效;取伤者的性别、年龄、ISS、休克、意识障碍程度和损伤部位等为自变量,最终疗效为因变量,采用Spearman方法行相关性检验.结果:损伤部位发生率依次为四肢、头颅、胸、面、脊椎、骨盆及腹;急诊及入院后死亡者中,81%为重度颅脑伤;急诊室内因休克致死13.5%,其中80%为严重骨盆损伤;转运途中休克救治有效率为79.1%;创伤程度与休克有关(r=0.599),意识障碍程度及严重颅脑伤与预后有关(r1=-0.738,r2=0.831).结论:高速公路创伤具有高能量、高速度的特点,严重颅脑伤的发病率高,死亡率高,严重骨盆损伤则是急诊室内创伤性休克死亡的主要原因,必须加强其早期处理力度. 相似文献
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重型颅脑外伤与肺部感染临床分析 总被引:3,自引:0,他引:3
目的研究重型颅脑外伤患者院内肺部感染原因及病原菌特点,探讨预防及控制感染措施。方法对260例重型颅脑外伤患者肺部感染危险因素及病原菌调查分析。结果根据入院后的调查研究,导致患者并发肺部感染的主要因素有年龄、住院时间、气管切开、休克、基础病变等;其中从260例肺部感染患者中分离了细菌190株,主要致病菌为革兰阴性菌,占71%,其次为革兰阳性菌,占15.8%,真菌占13.2%。治愈196例,因肺部感染死亡39例,放弃治疗25例。结论导致重型颅脑损伤并发肺部感染的主要因素有年龄、住院时间、气管切开、休克、基础病变等,其主要致病菌为革兰阴性菌、其次为革兰阳性菌、真菌,针对上述危险因素采取有效措施可降低感染率。 相似文献
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速尿注射液引起猝死1例 总被引:3,自引:0,他引:3
1 临床资料患者女 ,4 0a ,因腹痛 ,呕吐 13h于 2 0 0 1年 4月15日急诊入院。无发热 ,无意识障碍 ,无高血压、冠心病、糖尿病及药物过敏史。查体 :BP 12 /8kPa(90 /6 0mmHg) ,心率 93次 /min ,律齐 ,急性痛苦表情 ,呻吟状 ,腹饱满 ,右上腹压痛 ,双肾区叩击痛(+ )。初诊 :①急性胰腺炎 ;②泌尿系结石。因患者需进行B超检查 ,但无尿 ,故即给予速尿注射液2 0mg ,im ,用药 1 5h后 ,在行B超检查过程中 ,突然呼吸、心跳停止 ,即进行抢救 ,行胸外心脏挤压 ,气管插管 ,心电监护 ,电除颤 ,反复给予肾上腺素注射液、多巴胺注射液… 相似文献
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