Objective To evaluate the intervention effect of comprehensive care on central venous catheter related complications.Methods A total of 256 patients with indwelling central venous catheter were se-lected in author's hospital as the research subjects from July 2013 to June 2015.Among them,126 cases were as the control group in July 2013 to June 2014,other 130 cases were as the intervention group in July 2014 to June 2015.The patients in the intervention group were given comprehensive care,while the control group received basic nursing.Catheter-related complications in patients with two groups were compared. The health education master degree and satisfaction of nursing work for all the subjects were evaluated.Re-sults In the intervention group,the rate of catheter breakage was 6.9%,catheter blocking 8.4%,cathe-ter displacement dislocation 0.8%,catheter-related infection 9.2%,catheter-related thrombosis forma-tion 3.8% and phlebitis 6.9%,which were significantly lower than those of the control group.The inter-vention group had a significantly higher degree of mastery of catheter related knowledge and maintenance skills and significantly higher compliance of nursing care than the control group,the difference was statisti-cally significant (P <0.05);The satisfaction degree of the intervention group and the control group were 94.6% and 80.2% respectively,and the difference was statistically significant (P <0.05).Conclusions The comprehensive nursing intervention can reduce the incidence of catheter related complications,improve the patient's knowledge and maintenance skills of the master degree and compliance and satisfaction of nurs-ing.

白血病是一种常见的恶性肿瘤,我国白血病发病率约为2.76/10万,近年来有增多的趋势,其主要治疗手段是化疗,由于化疗药有很多的副作用,且经济费用很高,所以不少患者对化疗产生焦虑情绪.因此深入了解每一位化疗患者的心理状况.解除其焦虑心理,顺利接受下次化疗,提高生活质量,延长生命很重要.

阑尾炎是外科常见症.也是最多见的急腹症.虽然,过多的误诊已使临床医生重视阑尾炎的症状及辅助检查在其早期诊断中的价值,然而,异位阑尾炎[1]仍不时地给我们以教训.尤其是左位阑尾炎没有引起我们的充分注意,因而,我们仍不可忽视每一个具体患者.鉴于此,现将我院1986--2007年收治的4例左位阑尾炎报告如下.