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Objective To study nursing cooperation of second-stage reconstruction of breast and anterior axillary fold with island latissimus dorsi musculocutaneous flap after Radical Mastectomy. Methods Thirteen patients with severe defect of thoracic wall underwent second-stage reconstruction of breast and anterior axillary fold with island latissimus dorsi musculocutaneous flap and breast implants 1 ~ 4 years after the Radical Mastectomy for breast cancer. The nursing cooperation including preoperative preparation of staffs, surgical instruments, and articles, and methods of intraoperative nursing cooperation were retrospectively analyzed.Results Procedure success was gained in all 13 cases, without operation beingg delayed because of surgicalinstruments or poor cooperation. Flaps survived intraoperatively and postoperatively. Primary healing of incision without any infection was observed for all patients. Satisfactory mammary contour was achieved for all patients uneventfully with absence of any complications. Conclusions Careful preoperative preparation of articles and psychological nursing to gain best cooperation of the patients, and skilled intraoperative nursing cooperation are essential for procedure success. 相似文献
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凝血酶鼻饲治疗新生儿上消化道出血68例疗效分析 总被引:2,自引:0,他引:2
新生儿上消化道出血,是新生儿严重疾病最常见的并发症。病情凶险,甚至导致死亡,是儿科临床治疗的难题。因此,治疗新生儿上消化道出血的方法日益受到重视,不少儿科界同仁进行了多方面的探索。我科近七年来应用凝血酶鼻饲治疗新生儿上消化道出血68例,取得较好的效果。现报告如下。1资料与方法1.1一般资料:我科1991~1997年收治新生儿上消化道出血102例,其中男80例,女22例。出生日龄最小20小时,最大26天。原发病:新生儿缺氧缺血性脑病45例,重度窒息24例,早产儿呼吸暂停12例,新生儿败血症11例,吸入性肺炎7例,DIC2例,新生儿… 相似文献
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目的随着科技的飞速发展,各种先进的医疗器械被广泛应用于外科手术,先进的医疗器械既能降低了手术的危险系数,提高手术质量,缩短手术时间,提高手术效率。先进的医疗器械、物品往往价值不菲,对手术室的物品管理提出了新的挑战,现通过在不断增加使用贵重、精细物品的手术过程中,加强对手术室贵重物品的管理,精简巡回护士工作:减少护士外出手术间的次数和缩短外出时间,提高手术质量。方法在2009年我们围绕着手术室贵重物品管理进行一系列的改革:①物品的管理:物品统一管理,补充及时,合理分类放置,取放用物程序明确简单,收费层层把关。②人员的管理:把贵重物品适用范围,使用的注意事项等提供专业讲座并列入专业考试范围。我们对需要准备贵重物品最多的几个科:骨科、泌尿、五官、颅脑4个科进行随机抽样100例,其中巡回方式采用改革措施和未采用改革措施的各50例,分别记录改革前后巡回护士外出手术间的次数和时间。结果通过数据显示护士在手术期间离室次数增多,时间增长,主要是取放各种手术用物,其中以贵重、精细物品为主,改革后抽样检查发现手术开台护士准备用物外出的次数和时间有效减少。结论在手术不断增加使用贵重物品过程中,通过加强对手术室贵重物品的管理,减少护士准备用物的时间,精简巡回护士工作,有效缩短手术时间提高手术配合质量,取得了满意的成效。 相似文献
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目的:探讨如何在"三查七对"的基础上,使用术前核对表,执行Time-Out核对制度,严格手术核对程序,杜绝错误手术发生。方法:从手术室门口接手术患者的核对,到手术间巡回护士的核对,最后由手术医生、麻醉医生、手术室护士在皮肤消毒前共同核对,并分别签名确认,层层把关,杜绝错误手术。结果:自使用核对表和执行Time-Out核对程序以来,无错误患者、错误手术等不良事件发生。结论:切实做好术前患者核对工作是防止手术患者及手术部位错误的最有效方法,对降低医疗风险具有重要意义。 相似文献
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Objective To study nursing cooperation of second-stage reconstruction of breast and anterior axillary fold with island latissimus dorsi musculocutaneous flap after Radical Mastectomy. Methods Thirteen patients with severe defect of thoracic wall underwent second-stage reconstruction of breast and anterior axillary fold with island latissimus dorsi musculocutaneous flap and breast implants 1 ~ 4 years after the Radical Mastectomy for breast cancer. The nursing cooperation including preoperative preparation of staffs, surgical instruments, and articles, and methods of intraoperative nursing cooperation were retrospectively analyzed.Results Procedure success was gained in all 13 cases, without operation beingg delayed because of surgicalinstruments or poor cooperation. Flaps survived intraoperatively and postoperatively. Primary healing of incision without any infection was observed for all patients. Satisfactory mammary contour was achieved for all patients uneventfully with absence of any complications. Conclusions Careful preoperative preparation of articles and psychological nursing to gain best cooperation of the patients, and skilled intraoperative nursing cooperation are essential for procedure success. 相似文献
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红皮病是一种累及全身或90%以上体表面积,以弥漫性红斑、不同程度脱屑为主要表现的严重炎症性皮肤病.红皮病的病因复杂,可以继发于其他皮肤病、恶性肿瘤、药物反应以及特发性红皮病等.这些疾病是否为同一途径发展而来,目前尚不明确.但已知T淋巴细胞是红皮病患者皮肤中最主要的浸润细胞,提示T淋巴细胞可能在红皮病的发生发展中起重要作用.目前关于不同类型红皮病的发病机制主要集中于两方面,一是不同类型T淋巴细胞及其相关细胞因子的相互作用,特别是Th1和Th2及其细胞因子;二为趋化因子及其特异性受体的相互作用. 相似文献
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目的:探讨盐酸丁卡因胶浆预防男性患者全麻后留置导尿管复苏期间躁动的效果。方法将120例术前留置导尿管的男性患者随机分为观察组和对照组,每组各60例,其中观察组将盐酸丁卡因胶浆软管前端插入尿道,将胶浆挤入约2g,提高阴茎,余下3g 涂抹于尿管前段,2min 后将导尿管插入尿道;对照组用无菌液体石蜡油涂抹于尿管前段,全麻苏醒期间观察并记录患者血压、心率、躁动程度。结果2组患者苏醒期复苏良好,对照组血压、心率变化均高于观察组(P <0.05),发生躁动的例数、程度均高于观察组(P <0.05)。结论盐酸丁卡因胶浆对男性患者全麻后留置导尿复苏期躁动有良好的预防作用。 相似文献
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