目的:探讨2010-2012年重症监护室住院病人发生铜绿假单胞菌感染的相关因素。目的:加强防控措施,降低重症监护室铜绿假单胞菌院内感染率,提高救治成功率。方法:回顾性分析12例由铜绿假单胞菌引起的住院病人下呼吸道感染事件的原因。结果:2年内监护室发生12例住院病人检测结果全部为铜绿假单胞菌感染。结论:我们通过对医务人员医院感知识和专科知识的培训,严格执行无菌操作规程和手卫生制度。加强重症监护室病房管理,严格执行消毒隔离制度,建立重症监护室医院感染监控系统;加强室内物表和医疗设备卫生消毒等措施,就能有效预防和控制重症监护室住院病人发生铜绿假单胞菌感染的发病率,提高救治成功率。

Objective :To observe the effect of Zibu Shenjing Formula on IGF-1 and IGFBP-3 levels of mice with kidney essence insufficiency,and to explore the mechanism of Zibu Shenjing Formula on nourishing kidney essence.Methods :50 healthy mice were divided into 5 groups :normal group,model group,Jinkui Shenqi Pill group,Zibu Shenjing Formula high-dose and low-dose groups.Except the normal group,other 4 groups were established the animal models of kidney essence insufficiency.From the start,model group was given saline(0.02 mL.g-1),Jinkui Shenqi Pill group was given Jinkui Shenqi Pill(2.7 g.kg-1.d-1),and Zibu Shenjing Formula high-dose and low-dose groups were given different concentrations,that was,Zibu Shenjing Formula(20 g.kg-1.d-1,10 g.kg-1.d-1)respectively for 21 days.Then the general situation of animals,the weights were observed and at the end the quantities of IGF-1 in liver and IGFBP-3 in serum were detected.Results :Zibu Shenjing Formula obviously relieved the symptoms of the mice with kidney essence insufficiency better,improved the weights,the levels of IGF-1 in liver and IGFBP-3 in serum.Conclusion :Zibu Shenjing Formula may play an important role of treating kidney essence insufficiency by methods of regulation of IGF-1 and IGFBP-3.

Objective: To discusses the influence of pulmonary infection incidence of 81 severe brain injury patients with early tracheotomy nursing care. Methods: Make early tracheotomy nursing care method of severe brain injury, and comparative analysis of the results of implementation with literature. Results: In 56 cases of patients with early tracheotomy nursing care, the incidence of pulmonary infection was significantly decreased on patients with severe brain injury. Conclusion: Early tracheotomy nursing care can improve the prognosis of patients with severe brain injury, which is worth popularizing.

脑出血发生与高血压、动脉硬化密切相关,是致残率较高的疾病之一。康复期合理护理,对提高治疗效果预防并发症极为重要。护理目的在于减轻或消除患者功能上的残疾,使患者树立战胜疾病、回归家庭和社会的信心,提高患者的生存质量。

患者男,20岁,全身多处火焰烧伤,伤后2 h入院.查体:患者意识清楚,轻度烦躁,无呼吸困难.体温为36.5℃,心率为132次/min,呼吸28次/min,血压为75/50 mm Hg(1 mm Hg=0.133 kPa).除左侧胸腹部、双足有少量正常皮肤外,其余部位均为烧伤创面.右胸部、背部、四肢大部分创面基底苍白、质硬、痛觉迟钝或消失.诊断:火焰烧伤总面积92%,其中浅Ⅱ度17%、深Ⅱ度41%、Ⅲ度34%TBSA.