Objective To determine the composition of urinary stones in eastern Shandong region using LIIR Automatic Analysis System of Infrared Spectroscopy and discuss its clinical value.Methods Urinary stone samples were collected from 1 643 patients in eastern Shandong area.Patients aged between 4 months and 82 years old,including 1 045 males [average age of (38.54 ± 17.60) years old] and 598 females [average age of (43.22 ± 15.30) years old].The stone was located in the kidney in 1 056 cases (60.34％),ureter in 576 cases (35.05％) and bladder in 11 cases (0.60％).Compositions of stones were analyzed by LIIR Automatic Analysis System of Infrared Spectroscopy.The results were verified by manual analysis of the spectrogram accompanied by polarizing microscopy and chemical analysis when necessary.Results Regarding the compositions of stones,the main component of stones was calcium oxalate monohydrate in 854 cases (51.98％),anhydrous uric acid in 461 cases (28.06％),carbonate apatite in 197 cases (11.50％),ammonium magnesium phosphate hexahydrate in 93 cases (5.66％),calcium oxalate dehydrate in 28 cases (1.71％),cysteine in 8 cases (0.31％) and ammonium urate in 4 cases (0.25％).Regarding the constitution of stones,there were 1 014 cases (61.72％) of mixedstones,and 629 cases (38.28％) of stones with a single component.Conclusion In eastern Shandong region uric acid stone was the most common type of urinary stones.The Automatic Analysis System of Infrared Spectroscopy has many advantages in accuracy,automation and speediness in analyzing the composition of urinary stones and is worthy of routine clinical application.

Objective To investigate the significance of donor specific antibody (DSA) on acute renal rejection and renal function.Methods DSA was detected with Luminex200 in 459 renal transplant patients who were operated in Yaitai Yuhuangding Hospital from June 2010 to April 2014.Penal reactive antibody ≥10％ was found in 46 patients,including 20 males and 26 females,the average age was 45 years,and DSA was positive in 18 patients.Results There was significant difference in acute renal rejection,delayed renal function and graft dysfunction between DSA-positive group and DSA-negative group,but there was no signaficent difference in patient survival between the two groups.Conclusion DSA played a great role in acute renal rejection and renal function.The detection of DSA in time was the effective method to predict acute rejection after renal transplantation.

Objective To evaluate the clinical efficacy of retroperitoneal laparoscopic nephroureterectomy (RLNU) combined with transurethral electric coagulation on upper urinary tract urothelial carcinoma (UUTUC).Methods Sixty UUTUC patients were enrolled from Jun.2012 to Apr.2013.The prospective clinical controlled analysis method was adopted in this study.All patients were divided into test group and control group according to the order of admission.Thirty cases (test group) underwent RLNU combined with electric coagulation,and 30 cases (control group) underwent RLNU combined with electric resection.The differences in operation time,blood loss,hospital stay and tumor recurrence rate between the 2 groups were compared.Results All the 60 operations for UUTUC were successful without conversion to open surgery.No intraoperative complications such as great vessels or surrounding organs damage occurred.There were 2 cases loss to follow-up in test group and 3 cases in control group.There were no significant differences in operation time,blood loss,follow-up time,tumor stage and tumor grade between the 2 groups.The hospital stay in the test group was shorter (5.5±2.0 d versus 7.1±2.2 d),the tumor recurrence rate was lower [4％ (1/28) versus 30％ (8/27)],and the differences were significant (P＜0.05).Conclusion Compared with RLNU combined with transurethral electric resection,RLNU combined with electric coagulation has advantages of shorter hospital stay and lower tumor recurrence rate.

1996年12月～2006年10月,我们对69例角膜病患者施行穿透性角膜移植术(PKP),现将护理体会报告如下. 1 临床资料 本组69例(69眼),男41例,女28例;17～64岁.

2003年1月以来,我院本着"以人为本,以患者为中心,更新观念,提高医护质量"的理念,创造了温馨舒适的就医环境与和谐稳定的就医氛围,充分维护了患者的权利.现报告如下.

2007年1月,我院收治因鞭炮致眼外伤患者一例,经精心护理,耐心宣教,患者情绪稳定,取得满意效果.现将护理体会报告如下.

2005年12月,我们对1例重症头臂型大动脉炎患者行左髂外左颈总动脉人工血管转流术,并给予综合治疗与精心护理,效果满意.现将护理体会报告如下.

2000年7月～2006年7月,我们行穿透性角膜移植(PKP)治愈真菌性角膜溃疡27例,经精心护理,效果满意.现将围术期护理体会报告如下.

1病历资料 患者男,47岁.因右下肢动脉硬化闭塞症继发血栓形成于10月27日入院.查体:T 36.7℃,P 88次/min,R22次/min,BP 135/90mmHg.右小腿肌肉轻度萎缩,足靴区以下皮温差,右足2、3趾间溃疡.右股脉搏动弱,右足背动脉及胫后动脉搏动未及.拟定于10月28日下午局麻下行右下肢动脉造影术,故行碘过敏试验.观察双眼巩膜有无变化后,取30%泛影葡胺1ml,在一侧眼滴一滴泛影葡胺,1min后观察双眼巩膜无改变.将余液静脉推注,3min后患者感恶心,随之呕吐,且面部潮红.立即给患者平卧,头偏向一侧,吸氧,建立静脉输液通路,遵医嘱给地塞米松5mg速尿20mg静脉推注,胃复安10mg肌肉注射10min后患者感轻微恶心,无呕吐.30min后患者诉无不适.遵医嘱给优维显370 1ml静脉注入,20min后观察结果,患者无不良反应,遂陪送至导管室行动脉造影,安全返病房.

白内障超声乳化手术(Phaco)具有切口小,手术时间短,术后反应小,散光小,视力恢复快等优点,深受眼科医生的推崇和患者的欢迎.但Phco手术器械复杂、精密、自动化程度高、操作难度大,除要求术者具有较高手术技巧外,对手术室护士也提出了更高的要求,如了解手术步骤、掌握各种器械的性能、使用方法及清洁消毒和保养等,确保手术顺利完成.我院2000年引进美国Alcon生产UniversalⅡ型超声乳化仪,已实施Phaco手术104眼,现将手术配合报告如下.