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。     

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。     

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…     

医疗机构发取血远程核对制度上海专家共识

为解决因医院院区扩大、血液转运时间延长、转运环境生变与工作量增加及其导致的工作(人员)紧张等带来的输血科执行原有发取血规定的困难和挑战,确保血液远程核对发放信息的准确性及临床用血安全,上海市部分临床输血专家及血液管理专家结合数字、智能和远程通讯等技术的发展现状,对发取血远程核对的适用范围及管理细则做了系统研讨,制定了《医疗机构发取血远程核对制度上海专家共识》,以期为临床医疗机构提供符合现实变化的相应指导意见。     

走出自寻的烦恼

有这样一则古老的寓言。一个年轻的农夫,划着小船给另一个村子的居民运送农产品。那天的天气酷热难耐,农夫汗流浃背,苦不堪言。他心急火燎地划着小船,希望赶紧完成运送任务,以便在天黑之前返回家中。突然,农夫发现有一只小船迎面快速驶来,眼看就要撞上了,但对方并没