目的 分析踝关节扭伤患者在急诊治疗过程中接受心理护理干预的临床价值.方法 选择2017年1月—2019年5月期间在我院急诊接受治疗的82例踝关节扭伤患者,通过随机分组的方式分成对照组(41例)和观察组(41例).对照组实施常规急诊护理;观察组在常规急诊护理的基础上,增加实施心理护理干预.比较两组护理前后心理状态评分、对急诊护理的满意度、急诊救治时间、住院治疗时间、患侧踝关节功能恢复正常时间、治疗期间不良反应情况.结果 观察组患者护理前后心理状态评分的改善幅度大于对照组;对急诊护理的满意度达到92.7％,高于对照组的75.6％;急诊救治时间、住院治疗时间、患侧踝关节功能恢复正常时间短于对照组;仅有2例治疗期间不良反应产生,少于对照组的9例.组间差异有统计学意义(P＜0.05).结论 踝关节扭伤患者在急诊治疗过程中接受心理护理干预,可以减少治疗期间不良反应,帮助患者保持良好心态,缩短住院治疗和病情恢复时间,使其对急诊护理的满意度得到显著提高.

Objective To analyze the causes of the accident in hospital transport of critical patients in emergency department and explore the measures for prevention of accidents. Methods The nursing data of 280 cases of critical patients(control group) in emergency department with hospital transports from June 2009 to June 2011 were analyzed,and the causes of the accidents were summarized. Transfer procedures were made and 220 cases of critical patients(observation group)from August 2011 to December 2012 were transported by the procedures. The transportion time,the incidence of accidents and adverse consequences between the two groups were compared. Results The average transportion time of the observation group was (18.2±5.4) min. During the observation group, there were 21 cases of accidents, 3 cases of illness,1 case of death and 8 cases of medical disputes. The average transportion time of the control group was(21.5±6.1)min. During the control group,there were 65 cases of accidents,15 cases of illness,5 case died and 23 cases of medical disputes. There was significant difference in the transportion time,the incidence of acci-dents and adverse consequences between the two groups. Conclusion Using the transfer procedures can shorten the transportion time, reduse the incidence of accidents and adverse consequences of the patients. So, to strengthen the transfer procedures, establishing sound transport rules and regulations, improving the occupation quality and profes-sional skills of the transport staffs, smoothing the transport channel are important to the safe transport of critical pa-tients in the hospital.

目的探讨重症脑卒中患者急诊CT检查的护理方法。方法采用程序化转运护理方法对118例重症脑卒中进行急诊CT检查,并分析其临床资料。结果全部患者均安全完成检查。发生意外情况15次,但无1例死亡。结论强化转运检查护理程序对于重症脑卒中患者安全地进行CT检查有重要作用。

Objective To observe the awakening effects of naloxone combination with Xingnaojing injection on the patients with acute carbon monoxide poisoning.Methods Totally 71 patients with acute carbon monoxide poisoning were divided into three groups at random: group A(n=25),group B(n=24) and group C(n=22).Group A was treated by naloxone combination with Xingnaojing injection,group B was treated by naloxone and group C was treated by Xingnaojing injection.The awakening time of the patients were compared.Results The awakening time of the patients in group A was(4.10±1.33)hours,which was significantly shorter than that of group B and group C(P<0.01).Conclusion The awakening effects of naloxone combination with Xingnaojing injection is superior to that of Xingnaojing injection or naloxone alone on the patients with acute carbon monoxide poisoning.

目的观察醒脑静注射液与纳洛酮合用治疗急性酒精中毒的临床效果。方法选取我院急诊科急性酒精中毒患者156例,随机分为对照组78例常规应用纳洛酮治疗,治疗组78例,应用醒脑静注射液与纳洛酮联合治疗。观察两组患者的意识、语言、运动等临床症状恢复情况。结果治疗组所有患者临床症状恢复时间较对照组缩短,疗效优于对照组。结论醒脑静注射液与纳洛酮合用治疗急性酒精中毒,疗效优于单独用药,效果确切、满意。

<正>七叶皂甙是从七叶树的干燥成熟果实娑罗子中提取的一种天然植物药。注射用七叶皂甙钠产品中主要含七叶皂甙钠A、B、C和D,其中A、B为β型七叶皂甙钠,C、D为α型七叶皂甙钠。目前我国市场上的注射用七叶皂甙钠是以七叶皂甙钠A和B即β-七叶皂甙钠为有效成分。七叶皂甙

Objective To observe the effects of Yunnanbaiyao aerosol in combination with compound sodium aescinate gel for the treatment on the patients with acute ankle joint sprain.Methods All 83 patients with acute ankle joint sprain were divided into three groups at random:group A(n = 29),group B(n = 26) and group C(n = 28).Group A was treatmented by Yunnanbaiyao aerosol in combination with compound sodium aescinate gel,group B was treatmented by Yunnanbaiyao aerosol and group C was treatmented by compound sodium aescinate gel.The treatment effects among three groups were compared.Results The obvious effective rate of 7 days after treatment of three groups were 55.17%,23.08% and 25.00%,and that of 14 days were 82.76%、46.15%and 46.43%.The obvious effective rate of 7 days and 14 days after treatment of group A were significantly increased in the data of group B and group C(P 0.05 and P 0.01).Conclusion The effects of Yunnanbaiyao aerosol in combination with compound sodium aescinate gel is superior to that of Yunnanbaiyao aerosol or compound sodium aescinate gel alone on the patients with ankle joint sprain.

There are kinds of toxicants of acute poisoning,and most of toxicants are currently no specific antidote.Removing of the toxicants mainly depend on the patients' own metabolism and accelerating the excretion through the comprehensive treatments.How to remove the toxicants timely and effectively is an important issue in the rescue of acute poisoning.Hemoperfusion (HP) is a rapidly developed blood purification technology in recent years.It has already been used in clinical extensively,and has good effects.Hemoperfusion gradually becomes one of the main measures in the rescue of acute poisoning.This paper reviews he literatures of the clinical applications of HP in recent years.

<正>酒精中毒后易发生颅脑损伤,且病情复杂,脑损伤往往较重,且影响预后。我科2007-09—2010-09共收治酒精中毒合并颅脑损伤患者110例。本文分析其临床特点,并就如何做好急救处理进行探讨。1资料与方法1.1一般资料本组共110例,男87例,女23例,年龄16～65岁,平均46.8岁。均有过量饮酒史,就诊时呼气有酒精气味。受伤原因:车祸伤45例,跌伤38例,打砸伤22例,坠

目的观察云南白药气雾剂治疗静脉输液渗漏的疗效。方法将58例静脉输液渗漏患者随机分为两组:观察组30例,用云南白药气雾剂喷涂;对照组28例,用50%硫酸镁湿敷,比较两组疗效。结果观察组和对照组的3d治愈率分别为83.33%和57.14%,有统计学意义(P<005)。结论云南白药气雾剂治疗静脉输液渗效果良好,优于50%硫酸镁湿敷法。

目的探讨重症脑出血患者的急救护理方法。方法对96例重症脑出血患者进行程序化急救护理,并分析其临床资料。结果 93例患者达到了满意效果,收入专科继续治疗和护理,3例抢救无效死亡。结论明确脑出血急救护理目标、强化急救护理程序、尽早采取急救护理措施,对于提高抢救成功率,改善预后有重要作用。

目的研究脑出血患者就诊时血压水平与其病情及预后的关系。方法监测155例脑出血患者就诊时的血压,按血压高低分为正常血压组、轻中度高血压组、重度高血压组,比较3组患者的病情及预后。结果血压增高患者共128例,占82.58%,3组患者的病情及预后比较均有统计学差异。结论脑出血患者发病后血压大多增高,血压越高病情越重、预后越差,脑出血患者就诊时血压水平可作为评价病情及预后的指标之一。

目的探讨桡骨远端粉碎性不稳定骨折切开复位外固定架固定治疗的临床效果。方法自2007年7月至2012年2月,对19例桡骨远端不稳定骨折患者,急诊行切开复位,外固定架固定治疗,术后随访。结果所有患者骨折均愈合,关节功能恢复良好,效果满意。结论外固定支架治疗桡骨远端粉碎性骨折操作相对简单,是一种较理想的手术治疗方法。

目的总结轻型颅脑损伤恶化患者的特点与救治原则。方法对我科2005年12月至2010年1月期间救治轻型颅脑损伤恶化的35例临床资料进行回顾性分析。结果恶化多发生在伤后24 h内。恶化的原因主要有:原有颅内血肿的扩大,迟发性颅内血肿,严重脑水肿及弥漫性脑肿胀。GCS评分低、影像学阳性及有昏迷史等是恶化的危险因素。结论对于轻型颅脑损伤应轻分型,重处理。区别对待GCS13分、14分与15分,有无影像学异常及有无昏迷史等情况。

<正>儿童面部外伤临床常见。患儿家长担心术后形成蜈蚣腿样瘢痕影响面部美观,常难接受缝合手术;患儿因惧怕疼痛,不愿扎针难以配合。使用组织胶水粘合儿童面部创口,手术时间短,无明显疼痛感,创口愈合好,瘢痕不明显。我科自2010年12月起使用组织胶水对儿童面部急性外伤创口进行粘合,以闭合创口,取得满意效果,现

目的总结重型颅脑损伤合并休克的急救经验。方法对36例重型颅脑损伤合并休克患者的临床资料进行回顾性分析。结果恢复良好12例,轻残8例,重残4例,死亡12例。结论急救时应迅速评估病情,尽早明确诊断。止血、抗休克是首要抢救措施,复苏时兼顾颅脑损伤与休克。

应急医学救援是医学领域重要的组成部分。军队医院作为国家和军队应急医学救援力量的重要组成部分,正在逐步与地方医疗体系相融和,且越来越多的参与到地方应急医疗救援任务中,目前已经成为维护社会稳定、保障人民生命和财产安全的一支重要力量。

目的分析影响高血压脑出血生存质量的术后因素,并就如何做好术后处理进行探讨。方法对我科2005-09~2009-09因高血压脑出血手术治疗的136例患者的临床资料进行回顾性分析。结果颅内压(ICP)居高不下、意识状况好转慢、有严重并发症者预后差。结论手术只是高血压脑出血治疗过程中的一个重要环节,术后处理更为重要。着重做好降颅压,防治并发症,保护和促进脑功能恢复。

目的分析酒精中毒合并脑出血患者的特点,并就如何做好急救处理进行探讨。方法对36例酒精中毒合并脑出血患者的临床资料进行回顾性分析。结果恢复不良21例,占58.33%。同期非酒精中毒的脑出血恢复不良28例,占35.90%,两组比较有统计学差异。结论酒精中毒合并脑出血患者预后差。及时就诊、尽早明确诊断、应用大剂量纳洛酮等有重要意义。

目的探讨颅骨钻孔加尿激酶溶解引流治疗硬膜外血肿效果。方法对采用颅骨钻孔加尿激酶溶解引流方法治疗的硬膜外血肿46例临床资料进行回顾性分析。结果术中清除血肿约在50～80以上。尿激酶溶解引流2～3d后,血肿基本消失。46例患者均恢复良好。结论本方法与常规手术相比,具有简便、易行、创伤小、后期无需颅骨修补、费用低等优点,单纯性硬膜外血肿除少数情况外,均可采用本方法治疗。