三腔二囊管常用于上消化道大出血病人，通过压迫食管及胃底曲张静脉，达到止血目的。临床在三腔二囊管置入后需用注射器向胃囊及食管囊注入200～300 ml气体，以往我们通常一人注气，一人用止血钳夹闭三腔二囊管末端，既不方便又费人力。为此，我科将一次性静脉输液器（哈娜好SYQ-512-06AP-3）顶端塑针部分与截流夹，用于三腔二囊管阻断气流，取得效果较好，现介绍如下。

<正>水痘是由水痘-带状疱疹病毒引起的小儿常见急性出疹性传染病。患儿一般全身症状轻微,预后良好,少数合并有中枢神经系统损害等严重并发症,病情进展迅速,重者可危及生命。现将我院2010年1月至2011年7月收治的3例水痘合并急性脊髓炎

Objective: To analyze clinical features and multi-bacteria culture result of acute diarrhea patients.Methods: Among the acute diarrhea patients who seek medical advice in intestinal outpatient service in Dongfang Hospitital and Youan Hospitital from April in 2010 to March in 2011,158 cases were randomly selected carry out the dung bacteria culture,then their clinical diagnosis,clinical features and the multi-bacteria culture result were analyzed.Results: Among the 158 cases,60 cases were acute enteritis,17 cases were acute bacterial dysentery,58 cases were gastrointestinal dysfunction,7 cases were indigestion,and 12 cases were diarrhea referred;41 cases were found dung bacteria culture positive(25.95%,41/158),which consist of 17 cases of(41.46%,17/41)Vibrio parahaemolyticus,10 cases of Shigella(24.39%,10/41),7 cases of Salmonella(17.07%,7/41),4 cases of plesiomonas shigelloides(9.76%,4/41),2 cases of aeromonas(4.88%,2/41)and 1 cases of vibrio Cholerae(2.44%,1/41).The clinical diagnosis of the 41 cases whose dung bacteria culture were positive,including 24 case of acute enteritis,10 case of acute bacterial dysentery,3 case of gastrointestinal dysfunction,1 case of indigestion,and 1 case diarrhea referred.Conclusion: The main pathogenic bacteria of acute diarrhea in Fengtai area of Beijing was Vibrio parahaemolyticus, followed by Shigella;the clinical diagnosis of acute diarrhea often excessively rely on the conventional chemical examination result of dung,which was worth paying attention by clinicians.

[目的]探讨单纯性肥胖患者伴发非酒精性脂肪肝病与外周血脂肪细胞因子的关系.[方法]160例研究对象分为正常对照组30例(A组),单纯性肥胖组40例(B组),非酒精性脂肪肝组50例(C组)、单纯性肥胖合非酒精性脂肪肝组40例(D组);检测各组血脂和血清瘦素(Leptin)、脂联素(APN)的水平变化.[结果]与A组比较,B组、C组、D组的总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)、Leptin水平升高,高密度脂蛋白(HDL)、脂联素(APN)水平下降,差异均有统计学意义(P＜0.05或P＜0.01);上述指标在B组和C组之间比较差异不显著(P＞0.05).D组的TC、TG水平均较B组、C组明显升高(P＜0.05),且LDL水平也高于B组(P＜0.05);D组的Leptin水平较B组上升更明显,APN水平较B组、C组下降更明显,差异均有统计学意义(P＜0.05).[结论]脂肪细胞因子与单纯性肥胖及非酒精性脂肪肝相关,其可能参与了单纯性肥胖患者非酒精性脂肪肝病的病理生理过程.

目的:观察当飞利肝宁胶囊治疗慢性乙肝的疗效。方法:将60例慢性乙肝患者随机分为观察组和对照组各30例。观察组30例给予口服当飞利肝宁胶囊,1g/次、3次/日,对照组30例口服甘利欣胶囊,1g/次、3次/日,疗程各3个月。结果:观察组肝功能指标、血脂变化、症状、体征改善明显,优于对照组。结论:当飞利肝宁胶囊治疗慢性乙肝,降酶疗效明显、平稳、不反跳,有明显退黄作用,有降脂、改善肝细胞脂肪代谢作用,无明显副作用。

Objective To explore the nursing care and management of cases under medical obsevation of influenza A-H1N1.Methods The emergency response project was start-up promptly.The following measurese were carried out,such as organizing an emergency response team and setting up an isolation ward;formulating work flow and regulations,standardizing the manegemnt;strictly implementing disinfection and isolation regulations as well as occupational protection to prevent cross-infection;providing proper nursing care and management in the aspects of communication,language and daily living according to the features of foreign patients.Results All the 21 cases under medical observation cooperated with the medical staff positively during the isolation period.The patients' satisfaction was 100.00%.No infection occurred among the medical staff.Conclusions Attaching great importance to the manaegemnt of cases under medical observation,strictly implementing disinfection and isolation measuers,abiding by work flow and regulations can control hospital infection and increase patients' satisfaction.

To explore the emergency response measures in the prevention and treatment of influenza A-H1N1.Methods The response measures included setting up a leader team,a rescue team and infection control team to train nurses by the means of lectures and drilling,effectively prevent the epidemic of influenza A-H1N1 in the hospital and implement standardized management.Result All the 25 cases under medical observation received timely screening,diagnosis and treatment within 12 hours.Conclusion The standardized work flow as well as emergency training and drilling are the key points to ensure successful response of public health events.