目的:探讨脑卒中患者肢体肌力对下肢深静脉血栓形成(DVT)的影响及护理方法。方法:对497例患者根据脑出血和脑梗死不同瘫痪肢体肌力水平发生下肢深静脉血栓的原因进行分析,并进行对应的护理干预。结果:本组患者共有34例发生DVT的早期症状,其余患者住院期间均未发生下肢深静脉血栓。结论:瘫痪肢体的肌力水平是影响患者下肢深静脉血栓形成的重要因素,通过系统化的护理措施,能够有效预防下肢深静脉血栓的形成,并且对于早期发生的血栓能够早期发现、早期处理,避免了病情的进一步加重。

Objective:To investigate the effect of postoperative sustained epidural analgesia with self-controlled pump on the patients after abdominal tumor surgery and nursing methods.Methods: 120 patients with abdominal tumor surgery were randomly divided into observation and control groups(60 cases for each group).The patients in the observation group received postoperative sustained epidural analgesia with self-controlled pump and the patients in the control group were given analgesics after surgery.The patients' breathing,heart rate,blood pressure,nausea and vomiting,respiratory depression,skin itching and pain were observed and compared between the two groups.Results: The comparison of VAS scores in quiet state and adverse reactions was significantly different between the two groups(P<0.05,P<0.01).Conclusion: The postoperative sustained epidural analgesia with self-controlled pump can improve the analgesic efficacy and reduce adverse reactions of the patients after abdominal tumor surgery.

颅内动脉瘤是蛛网膜下腔出血的最常见病因[1],血管内治疗技术已经成为颅内动脉瘤的治疗的重要手段,使绝大多数的颅内动脉瘤都能通过血管内栓塞而治愈,从而免除开颅手术[2].我院自2004年1月至2007年6月,采用电解可脱式弹簧圈[3-4](Guglimi Detachable Coil,GDC)血管内途径栓塞治疗颅内动脉瘤蛛网膜下腔出血病人26例,均取得了良好的手术效果,现将围手术期护理体会报告如下:

多层螺旋CT(Multi-slice Spiral Computed Tomography, MSCT)是能够连续360°旋转扫描,一次扫描能同时获得多个层面图像的投影数据成像系统,能为感兴趣区域采用螺旋式连续容积扫描并采集数据,获得三维信息.扫描速度快,图像清晰,多功能影像显示,能最大限度检出病变;骨折病变解剖结构清楚,诊断更确切,尤其对急诊救治的患者极其重要.本文旨在探讨利用MSCT优势对急诊患者的合理检查和后处理应用及降低误诊的价值.