高海拔地区脑出血患者运送途中的救护

目的:探讨高海拔地区脑出血患者运送途中的救护措施。方法:对64例脑出血患者的运送救护中建立路况条件的评估,成立救护组进行病情评估及急救器材准备,制定运送途中病情观察救护方案。结果:64例脑出血患者,经全力、及时救护运送,2例(运送前深度昏迷,家属强烈要求转上级医院)在途中病情迅速加重,呼吸心跳停止,抢救无效死亡,其余62例患者安全运送到达上级救治医院,为后期治疗赢得了宝贵时机。结论:通过对脑出血患者的长途救护运送中建立评估并及时成立救护组进行病情评估及急救器材准备、运送途中病情准确观察及救护积累了一定经验,积极探寻出一套适合于高海拔地区开展的脑出血患者运送救护措施,值得临床推广。     

88例刀损伤患者的院前急救与途中护送

珠江三角洲地区，随着经济的发展，人们的生活越来越丰富多彩，打架、醉酒闹事的人也随之增多，以周末居多，其中刀损伤的患者有上升的趋势。因此，除加强各方面的管理外，一旦发生严重损伤，应争分夺秒地抢救。现将2008年1月～2009年6月，我科出诊抢救88例刀损伤患者护理体会介绍如下。     

标本质量对护理干预的影响对比

本文对开展护理干预、收集标本及常规护理收集标本进行对比分析，其目的是进一步完善标本采集、收集、运送程序，为检验科提供真实、可靠的标本。     

The Effect of Ligustrazine on Peritoneal Transport in Peritoneal dialysis

In order to investigate the effect of ligustrazine (Lig)i.p.on peritoneal permeability in peritoneal dialysis and its side effects,creatinine was given intravenously and continuously to maintain the high plasma creatinine level.All the rabbits were divided into three groups:normal control group (goup A),group B treated with 0.12% Lig and group C treated with 0.24% Lig.The peritoneal dialysis of all rabbits lasted 2h.The plasma and dialysate levels of glucose,protein and creatining were observed immediate,30min,60min,90min,120min after dialysis.Creastinine dialysate/plasma ratio (D/P),protein D/P ratio,grucose D/Do at different time points after dialysis and creatinine mass transfer area coefficient (MTAC) at 120min were calculated.The structures of peritoneum were observed under optical microscope and electron microscope after continuously intraperitoneal injection of Lig for 14 days.The results showed that the 90-min and 12-min creatinine D/P ratios in the group C were higher than in the group A.The 120-min creatinine MATC in the group C was higher than in the group A.The rabbits treated with Lig did not show significant structure changes of peritoneum and signs of peritoneal irritation.It was suggested that Lig could increase mass transfer ability of peritoneum without significant side effects.     

电烧伤致项枕部大面积缺损一例

患者男,24岁。因项枕部不慎触及接通1 kV 直流电的铜板,伤后即昏迷约10 min,运送途中呕吐3次,伤后8 h 入院。查体:体温37.4℃,脉搏60～80次/min,呼吸14～20次/min,血压104/73 mm Hg(1 mm Hg=0.133 kPa)。双肺呼吸音清楚,心率60～80次/min,各瓣膜区顺序听诊未闻及病理性杂音,腹部检查未见异常,病理征未引出。烧伤创面分布于项部及枕部等,面积约3%TBSA。患者颈项部有一切割伤裂口,长约8 cm,可见深层肌肉坏死,枕骨裸露12 cm×8cm,呈瓷白色。CT 检查提示:脑水肿、颅内积气、脑出血、头皮广泛肿胀。诊断:(1)项枕部高压电烧伤。(2)脑水肿。     

院外严重创伤病人的急诊转运及途中监护

创伤是当今人类死亡的主要原因之一，严重创伤病人常伴有大出血、休克和严重的生理功能紊乱，如抢救不及时可危及生命。因此，如何做好急诊转运和安全监护，是保证严重创伤病人安全到达医院，减轻伤残率，提高抢救成功率的重要环节。多年来我科在这方面进行了有效的探讨和总结，现介绍如下。     

滑动式手术车的临床应用

手术车是用来运输外科病人的工具,在临床我们常用的手术车车身固定或可搬动,在使用时给病人带来很多不便,多年来跟据临床需要,我们将车身设计为可滑动式的,取得很好效果.     

医院物流管理效益分析

医院面对激烈的市场挑战，必须改变传统的经营方式，近两年现代物流在我国蓬勃发展，我国第三方物流市场的逐步形成，强大的信息技术与计算机的支持，将给医院在申购计划与采购、仓储管理、库存管理和物资运送方面带来了全新的理念与现代化的经营方式，从而有效的提高医院的竞争力。     

Effects of arsenic trioxide on drug transporting molecules in multidrug resistance malignant neoplasma MR2 cell line

INTRODUCTIONIn recent ye ars, some studies have introducedAs2O3 into the treatment of acute promyelocyticleukemia (APL) with the complete clinical remission(CR) rate of 52.3￣93.7%[1,2]. Studies in vitro haveconfirmed that As2O3 can induce apoptosis of retinoicacid-resistant APL cell line[3]. As2O3 has been also ap-plied in the treatment for refractory primary hepaticcancer [4] with satisfactory result [5]. The drug resis-tance of tumor is correlated with the drug transport-ing molec…