目的:谈论风湿免疫病血液系统损害的主要临床表现.方法:选取2018年1月—2020年1月于本院进行诊治的风湿免疫病患者79例,回顾分析所有患者临床资料,均确诊为风湿免疫病,对患者进行早期骨髓涂片检查、血常规检查,根据检查结果计算患者血液系统损害发生率,并分析血液系统损害的主要临床表现,结合症状给予针对性治疗.结果:79例患者中出现血液系统损害的有60例,血液系统损害发生率为75.95％.60例血液系统损害患者中出现血小板数量减少症状9例、白细胞数量减少症状23例、贫血症状44例,贫血症状主要分为慢性贫血、缺铁性贫血等两种类型.结论:风湿免疫病血液系统损害的主要临床表现有血小板数量减少、白细胞数量减少、贫血等,故需要深入分析临床表现成因,及时提供针对性治疗,减轻对血液系统的损伤.

目的 探讨基于移动医疗的中青年高血压患者的动脉粥样硬化性心血管疾病防治模式的构建及效果评价.方法 本研究以2018-01至2018-12于大庆油田总医院心内科门诊就诊的符合纳入标准的中青年高血压患者,采用随机数字法将其分配到干预组与对照组.干预组患者接受自我管理App+常规社区高血压管理,对照组患者只接受常规社区高血压管理,共干预时间为6个月,干预后比较3个月,6个月患者在血压,BMI、腰围、自我管理能力、自我效能、生活质量方面的变化.结果 干预组患者在血压控制,自我管理能力、自我效能、生活质量方面优于对照组,移动医疗对中青年高血压患者自我管理、自我效能、生活质量有正面影响(P<0.05)结论基于移动医疗的中青年高血压患者的心血管防治模式证实促进了患者的行为改变,保持了健康生活方式,提高了中青年高血压患者的自我管理能力,生活质量.

目的 评价下肢骨折手术患者术中预防深静脉血栓的护理方案与效果,从而促进下肢骨科手术患者术后康复.方法 选择该院骨科2018年3月—2019年4月期间收治手术治疗的下肢骨折手术患者(n=80),结合护理方法不同进行对照组、试验组分组.对照组40例骨科手术患者接受常规护理,试验组40例骨科手术患者接受综合护理干预.对比2组骨科手术患者下肢深静脉血栓发生率、护理满意度、并发症发生率、住院时间以及费用.结果 试验组患者下肢深静脉血栓发生率以及肺栓塞等术后并发症发生率、住院时间、住院费用均少于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05).结论 下肢骨科手术中落实综合护理干预可以积极预防深静脉血栓,从而提高患者安全性,并促进患者预后.

Objective To compare the intermediate stage effects on human left ventricle function of pacing in right ventricular septum, in right ventricular outflow tract and in right ventricular inflow tract and to find the best right ventricular permanent pacing sites. Methods 54 patients who sufferedⅡ°ⅡAVB or Ⅲ°AVB performed with pacing were grouped into three terms, RVA pacing, RVOT pacing, RVIT pacing. The haemodynamics parameters including QRS duration (QRSd), left ventricular ejection fraction (LVEF), stroke volume (SV), cardiac output (CO), left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter (LVESD) which were compared between preoperation and 6 months after operation. Among three terms, the haemodynamics parameters of 6 months after operation were compared one by one. Results Compared with the haemodynamics parameters of preoperation, the QRSd in the RVA group, the RVOT group, and the RVIT group of 6 months after operation increased significantly(P<0.01); the LVEF, SV, CO of the RVA gropes of 6 months after operation decreased significantly (P<0.05); the LVEF, SV, CO of the RVOT group and the RVIT group of 6 months after operation didn't decrease significantly(P>0.05);the LVESD and LVEDD of three groups didn't increase significantly(P>0.05). Compared the haemodynamics parameters of 6 months after operation among the RVA group, the RVOT group, the RVIT group, the QRSd of three groups were different significantly 6 months after operation (P<0.01);the EF, SV,CO, LVESD and LVEDD of three groups weren't different significantly 6 months after operation (P>0.05). Conclusion Right ventricular inflow tract pacing have an advantage over the haemodynamics parameters of the RVA pacing and the RVOT pacing and approach the physiological pacing. Right ventricular inflow tract may be the best site of pacing right ventricular.

Objective To discuss the pediatric surgery nursing match characteristics. Methods To analysis the children's psychological activity characteristic, intraoperative care coordination, operation position and fixed method, intravenous infusion in pediatric surgery and blood transfusion management. Results Did wel in pediatric surgery nursing match in order to cooperate smoothly with surgery. Conclusion According to child psychology, physiology, anatomy and pathology of different ages with different characteristics, combined with surgery do the nursing work wel .

目的:探讨保留导丝技术应用于膜部室间隔缺损(VSD)介入治疗的可行性及安全性.方法:5例先心病膜部瘤形室间隔缺损的患者行室间隔缺损(VSD)的保留导丝技术介入治疗,术前所有病例经胸超声心动图初次筛选,左室造影最终筛选确定.术中所有病例均使用经胸超声心动图及左心室造影,观察封堵即刻效果,术后随访1年,行胸超声心动图、心电图检查观察疗效.结果:5例封堵手术成功,即刻手术成功率100％,封堵伞位置良好,无房室传导阻滞、无异常分流.结论:保留导丝技术应用于膜部室间隔缺损(VSD)介入治疗成功率高,安全可靠,同时减少患者的治疗费用.

<正>蛋白丢失性肠病(protein losing enteropathy,PLE)是由多种原因造成蛋白渗漏到胃肠道而导致低蛋白血症、严重水肿的疾病。蛋白丢失性肠病不是一个独立的原发疾病,而是各种其他疾病的临床表现[1]。系统性红斑狼疮(systemic lupuserythematosus,SLE)是一种常见的自身免疫病,可以累及全身各个系统和器官,可造成多种胃肠道损害,如肠系膜血管炎、