Objective To investigate the practical value of monitoring uterine hemodynamics with ultrasound during second trimester in clinical diagnosis and treatment on early-onset preeclampsia.Methods Doppler ultrasound was given to observe PI,RI and S/D of uterine arteries in 20-23+6 weeks and 24-28 weeks for all pregnant women,follow up observation was conducted to pregnant women during pregnancy and childbirth,then we compared the group uterine artery blood flow parameters of early-onset preeclampsia with normal pregnancy.Results According to pregnancy outcomes,access to 21 cases of early-onset preeclampsia and 40 cases of normal control group,patients with early-onset preeclampsia had higher uterine arterie PI,RI and S/D than the those of normal control group in 20-23+6 weeks and 24-28 weeks,the difference has statistical significance,P ＜ 0.05.Conclusion The early-onset preeclampsia compared with normal,uterine artery blood flow velocity of pregnant women is quite different,uterine artery blood flow parameters can be used as a secondary indicator to assist clinicians of screening risk populations with early-onset preeclampsia during second trimester.

Objective To explore sonographic features of the lower uterine segment cesarean section scar with early pregnancy,and to evaluate the diagnosis value of transvaginal ultrasound for lower uterine segment scar pregnancy.Methods The transvaginal color Doppler ultrasound was used in 15 cases of uterine scar pregnancy to check the next section to observe the location of the gestational sac,uterine incision site of the echo,the thickness of muscle scars,gestational sac and the uterine incision,and the relationship between blood flow distribution.Results In 15 cases of uterine scar pregnancy,ultrasound correctly diagnosed,14 cases of misdiagnosis,diagnostic coincidence rate was 93.3％.All patients with no intrauterine gestational sac surrounded by the trophoblast echogenic gestational sac audio and video,showed the lower uterine segment scar.We observed the scars were seen in the trophoblast with more abundant blood flow signals,measured by the CDFI RI of low resistance to blood flow,mean RI values less than 0.5.The imaging characteristics of the lower uterine segment scar in early pregnancy were divided into gestational sac integrity embedded in the scar at the embryo sac type,gestational sac to the intrauterine growth of the "tomato",three types of abortion harem cavity mixed echo.Conclusions Transvaginal ultrasound in the early lower uterine segment cesarean section scar pregnancy has important diagnostic value.

OBJECTIVE To discuss the transfer receipt in the transport of the emergency critically ill patients.METHODS 793 emergency critically ill patients as the control group were transported by regular courtyard transports from January to December 2009.812 similar patients as the observation group were transported by the monitoring model of transfer receipt from January to December 2010.Comparing the accident occurring rate in transit,omitted rate of handovers and untimely return rate of materials of the two groups.RESULTS The accident occurring rate in transit,omitted rate of handovers and untimely return rate of materials of the observation group are all lower than those of the control group(P﹤0.01),the difference is statistical significant.CONCLUSION The application of transfer receipt could lesson the accident occurring rate in transit,omitted rate of handovers and untimely return rate of materials effectively,and define the nurse duty,insure the patients transport safty and enhance the nursing quality at the same time,which is worthy of application and dissemination in clinic.

目的探讨急性乙醇中毒的抢救及护理。方法分析总结海南省人民医院急诊科收治的150例急性乙醇中毒患者的临床资料。结果 150例急性乙醇中毒患者中,除8例合并上消化道出血、3例骨折、2例脑出血(1例住院后死亡)、2例急性心肌梗死入院继续治疗外,其余135例均在急诊于48h内治愈。结论急性乙醇中毒患者应积极抢救,加强基础护理,做好安全防护及心理健康教育。

目的:探讨纤维胃镜在难置性洗胃管患者置入中的应用.方法:10例患者均采用经纤维胃镜指引下置入洗胃胃管.结果:所有经口置管或在喉镜直视下置管失败患者改用纤维胃镜指引下置管,均获成功.结论:纤维胃镜指引下对置入难置性洗胃管成功率高,对患者的心率、血压、血氧饱和度的干扰和影响小.

心脏骤停是急诊科常见的急危病症,胸外心脏按压是保证心肺复苏成功的关键.以往徒手胸外心脏按压是我科心肺复苏最为常用的急救技术,然而操作者的熟练程度、按压位置、深度、频率等都直接影响着心肺复苏的成功与否.

[目的]探讨门诊乳腺手术患者的心理状态,做针对性的心理护理。[方法]对60例乳腺肿物患者按手术日期的单双号分为实验组和对照组各30例,对实验组实施常规及心理护理,对照组实施常规护理。[结果]60例患者在术前普遍存在尴尬、恐惧心理,实验组通过心理干预,心理状况得到缓解的程度明显高于对照组,差异有统计学意义(P﹤0.01)。[结论]通过术前心理状态的了解,针对性地进行心理干预,能使患者以最佳的心理状态接受手术。

在儿科急诊中,急性小儿发热最为多见.急性发热是以上呼吸道感染最常见,其中多数为病毒感染.下面谈谈观察及护理.

色皮手术的患者越来越多,随着人们生活水平及健康意识的提高,但由于其部位的特殊性和敏感性,病人的心理负担较重,因此,为确保手术的顺利进行,做好病人的心理护理就显得日益重要.为此,笔者总结了我院近两年146例包皮手术患者的心理护理资料及体会,现介绍如下.

本院从1989～1998年经消化内镜取除异物47例,其中特殊异物17例,现报道如下.