Objective:To summarize the nursing experience of 1 case of pulmonary space occupation with thoracic aortic pseudoaneurysm.Methods:The patients with lung occupation accompanied by chest pain were identified, evaluated and judged. Through scientific warning mechanism, rapid response team and multi-department cooperation, EVGE was performed for the patients as soon as possible, and the corresponding nursing was coordinated.Results:After the placement of the stent, the patient was immediately isolated, with free blood circulation in the distal artery, without complications such as internal fistula, paraplegia, deep vein thrombosis, etc., and was discharged from the hospital smoothly.Conclusion:Nursing thinking of "predisposing" is permeated into clinical nursing work, and it is good at finding abnormal conditions in clinical practice and improving the level of difficult and critical care.

总结1例皮炎芽生菌侵犯肺、皮肤、股骨下端骨髓水肿患者的护理.取患者右下肢皮肤肿块脓液分泌物确诊为皮炎芽生菌感染,给予泊沙康唑混悬液口服抗真菌治疗.护理要点包括落实呼吸道护理,皮肤护理,关节护理,发热护理,药物治疗护理及心理护理,注重安全护理及医院感染的预防,做好出院随访工作.经治疗护理患者症状缓解,病情好转出院.

总结27例原因不明胸腔积液患者实施无痛内科胸腔镜检查的护理.术前做好患者的心理护理及术前准备.术中做好病情观察及手术配合.术后监测生命体征,积极预防并发症.27例患者均成功进行了无痛内科胸腔镜检查,术中及术后病情稳定,各项生命体征平稳,未出现明显并发症.

了解新型口服抗血小板聚集药—替格瑞洛的基本特征.综述近几年有关替格瑞洛的研究.替格瑞洛在药动学、药效学以及降低某些严重不良反应的发生等方面较其他抗血小板药物有优势.替格瑞洛将可能使抗血小板治疗进入一个新的阶段,但是还需要对其进行深入的研究和评价.

OBJECTIVE:To improve the work efficiency of hospital prescription evaluation by information-based construction,and to promote rational drug use in the clinic.METHODS:By using system structure of Client/Middleware/Server,programming tool of PowerBuilder10 and database technique of SQL SERVER 2005,and sharing the data of hospital electronic medical record,we designed and applied the hospital prescription evaluation management system.RESULTS CONCLUSIONS:By the control of sampling,evaluation and result generation,especially the use of double blind method evaluation,this system pledges the equity and justness of prescription evaluation process,and the criterion of prescription evaluation results.The operation of the system improves the hospital prescription evaluation system,and has the value of spreading and reference to medical field in China.

肺癌是常见的恶性肿瘤,近年来国内肺癌发病率以每年11%的速度递增,死亡率的增幅达111.85%[1].非小细胞肺癌占肺癌的70%～80%,大多数在确诊时已达Ⅲb～Ⅳ期,失去手术机会,化学治疗是晚期非小细胞肺癌的主要治疗手段之一[2].紫杉特尔又名多西他赛,破坏微管网状结构,促进微管装配成稳定的微管,同时抑制其解聚,使游离小管的数量显著减少,从而抑制细胞的有丝分裂,适用于先期化疗失败的晚期或转移性非小细胞肺癌的治疗.

OBJECTIVE:To assess the clinical efficacy and safety of domestic sparfloxacin for acute bacterial infections.METHODS:Domestic literatures about sparfloxacin for acute bacterial infections were retrieved by computer and their quality was evaluated to extract data(1993～2009).RevMan 4.2.2 software was used for Meta-analysis.RESULTS:A total of 10 RCT were enrolled.The comparisons of 2 groups were homogeneous in terms of clinical cure rate,clinical response rate,bacterial clearance rate and safety.There was statistical significance in comparison of combined effect variable between 2 groups in respect of cure rate,response rate and bacterial clearance rate(P0.05).But the comparison of clinical safety had no statistical significance(P0.05).CONCLUSION:The currently available evidence shows that clinical efficacy of domestic sparfloxacin for acute bacterial infections is better and incidence of ADR was lower.

OBJECTIVE: To evaluate the curative effect and safety of meloxicam in treating rheumatoid arthritis(RA) and osteoarthritis(OA).METHODS: The domestic publicly published literature about the randomized controlled trials(RCT) on meloxicam for rheumatoid arthritis and osteoarthritis were retrieved for quality evaluation using Jadad score and statistical analysis using meta-analysis.RESULTS: 15 RCTs accorded with the inclusion criteria.Comparing with the control group,the combined OR of the curative efficacy of meloxicam was 1.07(95% CI=0.82～1.40) for rheumatoid arthritis versus 1.25(95% CI=0.86～1.82) for osteoarthritis.The combined OR of the safety was 0.75(95% CI=0.61～0.92).CONCLUSION: The curative effect of meloxicam was equivalent to its control on the whole in treating rheumatoid arthritis and osteoarthritis;however,meloxicam had lower incidence of adverse drug reactions.

OBJECTIVE:To improve the quality and efficiency of hospital monitoring on the adverse drug reaction(ADR). METHODS:Hospital ADR monitoring system was developed based on the hospital ADR monitoring procedure in Jinzhou First People's Hospital by using Brower/Server system structure and ASP.NET2.0 and SQL SERVER 2005 database technique and sharing the database of hospital electronic medical records.RESULTS CONCLUSIONS:Through the establishment of hospital ADR monitoring network,the responsibility of medical personnel in ADR work has been established,and their ability in identifying and judging ADR have been improved,and both the quality and quantity of ADR reporting have been improved.

马斯洛的人类基本需要层次理论中,安全需要是第二层次的需要[1].每个人都有安全的需要,对患者而言尤为重要[2].跌倒和坠床是医院中较为常见的不安全因素.跌倒是指身体任何部位因失去平衡而意外触及地面或其他低于平面的物体[3].防范住院患者跌倒与坠床是评价医院医疗护理质量的一个重要指标[4,5].预防住院患者跌倒和坠床是护理人员应该关注的问题,本文对住院患者跌倒与坠床的高危因素及预防作综述.

肌纤维类型的多样性以及复杂的时空分布模式是肌肉功能差异的物质基础.神经纤维冲动频率和成肌细胞谱系共同调节肌纤维类型之间的转变.这种转变所产生的意义,是体育运动人体科学研究中的基本理论问题.对此问题的研究,有利于指导运动训练.