目的解除宫颈癌放疗后放射性膀胱炎大出血致血块阻塞尿路。方法经尿道膀胱镜下,利用24F电切镜置入膀胱镜内,配合采用球式灌注器,反复冲洗,挤压,吸出淤积于膀胱内的血块,使尿路通畅。结果8例患者,其中7例一次成功清除膀胱内积血,1例二次完成。术后配合膀胱冲洗、抗炎、止血及支持疗法,挽救了生命,达到了治愈的目的。结论该方法治疗放射性膀胱炎急性大出血致血块十分有效。

Objective: To know about the quality of life of bladder carcinoma patients who had undergone enterostomy within 12 months after operation and its influencing factors. Methods: A total of 36 bladder carcinoma patients who had undergone enterostomy in abdominal wall were selected as enterostomy group. Another 36 homeochronous bladder carcinoma patients who underwent reserving bladder operation were as control group. Data of all cases were collected by adopting world health organization quality of life scale (WHOQOL-100) and they were followed up at 1 month, 3 months, 6 months and 12 months respectively. By using European cancer study and treatment organization for rectal cancer specific scale (QLQ-CR38),the quality of life of all patients of enterostomy group in above-mentioned the four time points was investigated. Results: There was no statistical significance in terms of scores of WHOQOL-100 scale at one mouth after operation between the two groups of cases. The life quality including physical appearance, urinary tract symptom and enterostomy related problems of enterostomy group patients were significantly improved at three months after operation. Conclusion: The quality of life of bladder carcinoma patients undergoing enterostomy enterostomy is changed constantly within one year after operation. The quality of life of them is worse than that of non-enterostomy group patients. Enterostomy related problems have greater influences on the quality of life of these cases.

放射性膀胱炎是宫颈癌放射治疗后的常见并发症,主要表现为膀胱毛细血管扩张性血尿,可长期反复发作,进而形成溃疡,甚至大量血尿,急性出血时可在膀胱内形成大量血块,以致出现排尿困难,需经尿道膀胱镜清除血块.2003年-2005年,我科对8例放射性膀胱炎大出血病人进行手术,术中采用球式灌注器作为冲洗的主要工具,收到了良好的效果.现介绍如下.

近年来,护理学科迅速发展,护理人员学历层次不断提高,我院大专学历护理人员占全院护理人员的50.85%,其中部分高学历护理人员成为临床教学骨干,但大多数人并未经过正规的教学岗位培训.为了适应教学医院在护理教学、临床带教、继续教育等各级培训的需要,尽快培养一批规范化的护理师资队伍,于2005年开始对护理师资进行了规范化、阶段性培训.现介绍如下.

我院自1998年开始对医学影像专业本科生开设了<护理学基础>教学内容.在教学实践中发现,现代大学生在电脑操作方面动手能力很强,但在与医学有关的护理技术操作中能力较差,于是对"护理技术操作"实习教学进行了改革,取得了良好的效果.

为了适应现代医学发展的需要,培养具有综合素质的医学人才,我校医学三系自1998年以开始,对医学影像专业本科生开设了<护理学>的教学内容,初步进行了护理理论和实际操作融入医学教育中的尝试,取得了满意的效果.通过4年的教学体验,对在医学院校本科教育中开设<护理学>课程的必要性和可行性谈谈自己的看法.

我们于1988～1998年对患膀胱癌的住院病人584例与吸烟的关系进行调查分析,现报告如下 : 1 资料来源与方法 调查组选择1988～1998年膀胱癌住院病例584例,其中男患468例;女患116例,年龄20～60 岁以上,平均55.34±8.46岁.分别对不同年龄组、不同性别、病理类型、吸烟人数、吸烟病人的区域分布及吸烟量进行分析.对照组采用对424人健康男性患者家属(年龄25～65岁 )随机问卷形式调查其吸烟情况,答卷率100%.