<正>脑出血患者血压突然升高,致使颅内微血管破裂而引起的出血。在出血灶的部位,流出的血液能直接压迫脑组织,使其周围发生脑水肿,重则继发脑移位、脑疝等。多数患者无先兆,少数可见头痛、头晕、肢体麻木等前驱症状,重症者发病时突感剧烈的头痛、呕吐、数分钟内转入意识模糊或昏迷[1-3]状态。具有发病率、高死亡率、高残疾率、高复发率等特点。有些患者经抢救虽幸免于死,但均有不同程

Objective To study of compound mifepristone combined with microtubule effect of induced abortion in early pregnancy and nursing. Methods300 routine in artificial abortion of early pregnancy,randomly divided into 3 groups.Observer Group(100) using compound mifepristone combined microtubules induced abortion;Control I Group(100) first suit of compound mifepristone two days on the third day morning misoprostol 0.6 mg drug abortion;control II Group(100) means directly with microtubules Y4.5,intrauterine attract disposable tube for induced abortion.At the same time give corresponding nursing care.Observation and comparison of 3 group separately fertilized egg out of the situation,the operating time,pain,bleeding and menstrual recovery complete abortion rate,and so on. Resultsstatistics using x2 tests.With p0.05 as the difference statistically significant.Observation and control Ⅱ Group′s abortion Control Ⅰ group better(p0.01);pain Observer Group is lower than the control group Ⅰ,Ⅱ Group(p0.01);Observation and control of group Ⅱ fertilized egg discharges faster than control Ⅰ group,Observation of hemorrhage less than control group Ⅰ,Ⅱ group observation operation less than control group Ⅱ. Conclusioncompound mifepristone combined with micro-tubes in early pregnancy abortion in better results,and clinical application.

[Objective]To explore the effectiveness of early and positive first aid and nursing measures on patients with severe multiple trauma to see the possibility of increasing cure rate and reducing the motality.[Methods] A retrospective analysis was carried out to summarize the clinical data of 116 cases of severe multiple traumatic in our hospital from January 2008 to December 2011,and we analyzed the main points of aid for severe multiple trauma treatment.[Results]Among the 116 patients with severe multiple trauma,103(89.8％) were rescued successfully,only 13 dead.[Conclusion]Severe multiple traumas usually involve multiple organs,which is critical,complicated and change quickly,so,improper treatment could make it worse,even death.In order to take proper first aid measures and careful nursing,it's important for nurses to strengthen first aid consciousness,and be able to make accurate evaluation on trauma,timely and overall assessment.

Objective To explore the limb function recovery effects of three-stage rehabilitation training on stroke patients with hemiplegia.Methods 80 cases of stroke hemiplegia patients were randomly divided into rehabilitation group and the control group,with 40 cases for each group,rehabilitation group patients received flaccid paralysis period,spasm stage and recovery as there phases of rehabilitation function training according to the illness development process,and control group used the traditional method of nursing,30 days later the two groups were compared with limb muscle recovery,evaluation indexes,such as the quality of life.Results Rehabilitation group was better than control group,rehabilitation group:upper limbs strength Ⅲ-Ⅴ level 85％,lower limb muscle Ⅲ-Ⅴ level 80％,the control group:Ⅲ-Ⅴ level 45％,lower limb muscle Ⅲ-Ⅴ level 75％,the quality of life also had increased significantly (P＜0.01).Conclusion The three phases of rehabilitation function training nursing can effectively improve stroke hemiplegia patients' limb movement function and their quality of life.

Objective To explore the diagnosis value of S1-R segment depression caused by transesophageal atrial pacing for coronary heart disease.Method Used 12-lead ECG to measure 86 cases with non-cardiac disease,59 cases with coronary heart disease,and 38 cases with other heart diseases.Then cardiac stimulator was used to pace the heart with the HR of 20 beats/min higher than themselves; the time of continuous stimulation was 30 seconds; the Ⅱ -lead ECG of last 8 seconds was recorded and analyzed.Results The rate of S1-R segment depression in heart diseases was higher than non-cardiac disease; which was positively correlated with coronary heart disease.Conclusion The S1-R segment depression was 0.2 mV more than themselves.That can be used as an important diagnostic index for coronary heart disease.

目的探讨护理临床教学中引发护患纠纷的防范对策,增强实习护生防范护理纠纷的能力。方法调查分析临床护理教学中引发护理纠纷的原因。结果护理人力资源不足,带教老师及护生法律意识淡漠,护生的不熟练技术操作及与患者沟通的缺乏等是诱发护理纠纷的重要原因。结论重视带教老师的选择与管理,提高带教老师和护生的法律意识,加强知识技能培训,规范护理记录,把握沟通技巧等可将护患纠纷消灭在萌芽状态。