静脉炎的预防及护理体会

静脉炎是静脉输液后引起的静脉局部疼痛、红肿、水肿或局部条索状,甚至出现硬结的炎性改变,是静脉输液中最常见的并发症.美国静脉输液学会颁布的指南中认为,可接受的外周静脉输液性静脉炎的发生率为5％,一些调查甚至显示接收静脉注射的患者中有80％存在程度不同的静脉炎[1].     

聚焦基因武器(上)

本义通过论述分析基因武器的主要种类、基因武器的特点、基因武器对未来战争的影响、基因武器发展为何难以控制,探讨了如何应对基因武器的新挑战,对世界基因武器的发展做了初步的研究。     

天枢超声中药透入治疗阿片类所致肝郁脾虚型便秘的临床观察（英文）

Objectives:To observe the clinical effect on opioid-induced constipation of liver stagnation and spleen deficiency treated with the ultrasonic penetration of the No.1 constipation herbal formula at Tiānshū(天枢 ST25).Methods:A total of 126 patients that were in compliance with the inclusion criteria were randomized into an acupoint group(41 cases),a Chinese medication group(42 cases) and a western medication group(43 cases).In the acupoint group,the ultrasonic penetration of the No.1 constipation ...     

实验室模拟脱硫装置及脱硫剂的评价

在小型绝热填料吸收塔和再生塔中，模拟循环法脱硫工艺过程，比较了脱硫剂甲基二乙醇胺（MDEA）浓度分别为w＝0．10和w＝0．30时，不同气液比的选择性脱除H2S的性能。并在恒定脱硫剂循环流量、再生热负荷条件下，以w＝0．30的MDEA水溶液为基准，综合评价了添加部分有机溶剂时脱硫剂对脱效率有选择性因子的影响。实验表明，添加N－甲基吡咯烷酮及环丁砜可显著改善脱硫剂的选择脱友性能。     

腹腔镜胆囊切除术156例无中转开腹的体会

2001年6月～2003年7月,我们施行腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)156例,无一例中转开腹,无严重并发症发生,术后病人恢复良好,疗效满意,现报道如下.     

参麦冻干粉针治疗心绞痛及心律失常48例

我们 2000年 2月～ 2003年 11月采用本院院内制剂参麦冻干粉针治疗心绞痛及心律失常 48例,疗效较佳.现报告如下.     

天枢超声中药透入治疗阿片类所致肝郁脾虚型便秘的临床观察

ObjectivesTo observe the clinical effect on opioid-induced constipation of liver stagnation and spleen deficiency treated with the ultrasonic penetration of the No.1 constipation herbal formula at Tiānshū (天枢 ST25).MethodsA total of 126 patients that were in compliance with the inclusion criteria were randomized into an acupoint group (41 cases), a Chinese medication group (42 cases) and a western medication group (43 cases). In the acupoint group, the ultrasonic penetration of the No.1 constipation herbal formula at bilateral Tiānshū (天枢 ST25) were given. In the Chinese herbal medication group, the No.1 constipation herbal formula was prescribed for oral administration. In the western medication group, polyethylene glycol electrolyte powder was prescribed for oral administration. The treatment was given once a day, for 14 days totally. Before and after treatment, the constipation symptom score, the score of the patient assessment of constipation quality of life (PAC-QOL), the situation of nitric oxide synthetase (NOS) in serum were observed in each group. The safety indicators in the observation included diarrhea, allergic reaction, liver dysfunction, skin lesions, etc.ResultsA total of 122 cases accomplished the trial. The total effective rate was 82.5% in the acupoint group, 80.48% in the Chinese medication group and 78.04% in the western medication group. The constipation symptoms were all relieved in the three groups, indicating the statistical significance as compared with those before treatment (P < 0.01, P < 0.05). In the acupoint group and the western medication group, the improvements in the three symptom items, i.e. distention or scurrying pain in the chest, hypochondriac region or the bilateral sides of the abdomen, depression or irritability and poor appetite, were better than the western medication group (P < 0.01, P < 0.05). The improvements in all of the symptoms in the acupoint group were better than the Chinese medication group (all P < 0.05). The PAC-QOL score was improved in each group after treatment and it was different significantly in statistics as compared with that before treatment in each group. After treatment, the improvement of PAC-QOL score in the acupoint group and the Chinese medication group was better than that in the western medication group (both P < 0.05), and the improvement in the acupoint group was better than the Chinese medication group (P < 0.05). As to serum NOS, after treatment, it was different significantly as compared with that before treatment in each group (all P < 0.05), the improvement in the acupoint group was better than that of either the Chinese medication group or the western medication group, indicating the statistical significance (both P < 0.05). The incidence of adverse reaction in the acupoint group was less and different significantly as compared with the western medication group (P < 0.01), and it was different statistically as compared with the Chinese medication group (P < 0.05).ConclusionThe ultrasonic penetration of the No.1 constipation herbal formula at Tiānshū (天枢 ST25) is effective on opioid-induced constipation of liver stagnation and spleen deficiency. This therapy achieves the significant therapeutic effect and presents the good compliance in treatment. Hence, it deserves to be further promoted in clinical application.     

贲门失弛缓症的电视胸腔镜治疗

目的探讨贲门失弛缓症的电视胸腔镜治疗的临床可行性、安全性和应用价值。方法总结该院2001年7月-2004年1月期间收治贲门失弛缓症5例电视胸腔镜治疗的临床资料。结果5例均采用电视胸腔镜行食管下段贲门部肌层切开术，手术过程顺利，术后恢复良好，无手术并发症。随访4-32个月，进食困难缓解率为100％。结论对于Ⅱ、Ⅲ、Ⅳ期贲门失弛缓症电视胸腔镜治疗是一种安全有效的治疗方法。     

聚焦基因武器（下）

基因武器的特点 基因武器虽是武器家族中的新成员,却以无可比拟的优越性得到了许多国家的青睐。与造价昂贵的大规模杀伤性武器（如核武器）相比,它具有这样一些特点：杀伤力极强,成本却极其低廉有人将基因武器与威力巨大的核武器进行了比较。经计算,用5000万美元建立的一个基因武器库,其杀伤力远远超过一座用50亿美元建立的核武器库。     

盐酸丁卡因胶浆在安置胃管中的应用体会

安置胃管是护理许多危急重病患者经常需要采取的一项技能,如有机磷农药中毒的患者,为尽快清除胃内毒物,需要紧急安置胃管洗胃;急性胰腺炎等需要胃肠减压的患者,也常需要安置胃管;一些危重或神志不清的患者更需要安置胃管,以达到鼻饲供给营养、药物和能量等目的.