<正>急性心肌梗死是在冠状动脉病变的基础上发生冠状动脉供血急剧减少或中断以及相应的心肌严重而持久地急性缺血所致,是内科危重病症之一,常可发生心律失常、休克和心力衰竭等。发病紧急、病势凶险、死亡率高。因此,及时、正确、完善地

内镜下黏膜切除术(EMR)是消化道平坦型和隆起型早期肿瘤的治疗方法.其治疗原理为利用高频电刀在内镜直视下将消化道局部黏膜完整连续的切除,达到外科手术完全切除的效果,使消化道早期肿瘤达到经济、有效、微创的治疗效果[1].我院2005年以来应用EMR技术切除早期胃癌及癌前病变共26例,取得良好的效果.现报告如下.

Objective:To discuss the methods of perioperative care for the patients with diabetes after the transplantation of antologous stem cell.Methods:73 diabetic patients with the transplantation of amtologous stem cell were undergone the careful nursing in the preoperation,during the operation and after the operation.Results:After the operation,the glucose of most patients was controlled well.The dosage of oral agents and insulin was reduced and 2 patients withdrew the drugs completely.Conclusion:For the diabetic patients with the transplantation of autologous stem cell,psychological care should be taken before the operation,shortening the time of extracting the bone marrow in aseptic operation is necessary and the care of puncture points should be paid attention to preuenting bleeding and the occurrence of complications after the operation.

Objective: To explore approaches of nursing care for bronchial sleeve resection and bronchoplasty in perioperative period.Methods: Comprehensive and careful nursing care was given to 78 patients receiving bronchial sleeve resection and bronchoplasty preoperatively and postoperatively.Results: All the patients recovered soon and were cured.The survival rate for one year and for 3 years was 61% and 37% respectively.Conclusion: Comprehensive nursing care,such as preoperative psycho nursing care,various training,careful postoperative observation,keeping respiratory tract clear,management of drainage tube and prevention of complication,can increase the successful rate of operation and decrease the incidence of complication.

肺栓塞是由来自静脉系统或右心的栓子进入肺循环造成肺动脉及其分支阻塞的病理过程.多见于50岁以上男性病人,与长期卧床、骨折、心肌梗死、心房纤颤、心力衰竭、大手术后、肺癌等因素有关.2004年1月～2006年1月,我院共收治40例肺栓塞病人,经抗凝及溶栓治疗并配合有效的护理,病人最终均痊愈出院.现将护理体会报告如下.

采用自行研制设计的经食管导电球囊电极导管对60例药物难治性心房扑动患者经食管电复律,57例(96.6%)转为窦性心律,电复律能量(22.70±4.50)J;同样方法电复律19例阵发性心房颤动患者,其中16例(84.2%)转为窦性心律,电复律能量(17.38±8.58)J。经食管导电球囊电极导管转复心房扑动与心房颤动具有低能量、转复成功率高、不需麻醉等优点。

近年来,我们分析门诊就诊患者心理特征,做好患者的心理护理,赢得患者的信赖,提高了护理水平.现报告如下. 1 临床资料 本组300例,男200例,女100例,18～75岁,平均51±12岁.文化程度:小学及以下50例,中学100例,大专130例,本科以上的20例.冠心病、高血压病患者80例,消化系统疾病患者70例,甲亢、糖尿病患者60例,肺部疾病患者50例,肾病患者20例,血液病患者10例,风湿免疫患者10例.就诊次数初诊100例,复诊200例.利用患者候诊时间,征求患者同意;仔细询问病情、心理变化并记录.将患者存在心理问题分类归纳并加以分析.患者心理状态分析,希望"四短一长"285例,探求新医疗法108例,焦虑、急躁99例,担心费用高的患者150例,多疑患者48例.

随着"以人为本"整体护理的全面开展,护理质量越来越引起护理管理者的重视和患者的期待.我院于2001年实施了科室分类综合目标管理模式,并由院长与各业务科主任签定了<科室分类综合目标责任书>,相应建立了新的护理综合目标管理体系,由护理部主任与各科室护士长签定了<护理综合目标管理责任书>,全面提高了护理质量和服务水平[1-4].

目的:总结痛风健康育及护理经验.方法:患者就诊和治疗时,根据个体化给予患者很好的心理护理和健康教育,以及饮食,休息,运动全面指导.结果: 93例患者接受系统的治疗及生活指导,使患者充分认识疾病的发病机理及治疗原则和合理膳食的重要性.结论:有效的健康教育和护理措施,保证了患者的治疗,提高了患者对疾病的认识及生活质量.

一次性使用静脉营养输液袋(临床也称三升袋)的截流夹,通常在输液完毕后一同被废弃.2001年至今,笔者将静脉营养袋中的截流夹,用于关夹吸痰管、鼻饲管,经过多次的临床试验验证,用截流夹关、开吸痰管、鼻饲管及输液器的过滤器连接到胃管末端,效果很好.

2002年～2004年,我院内科门诊共抢救候诊患者突发急症62例,现将急救与护理体会总结如下.

在现代重症临护病房中,建立人工气道,使用机械通气的病人越来越多.1994年2月～2003年3月我院共使用机械通气抢救各种原因引起的呼吸衰竭或呼吸停止病人268例.现将护理体会总结如下.

目的:提高急诊外科住院病人健康教育质量,保证病人得到及时、有效的健康教育.方法:借鉴国外应用临床路径对病人实施整体护理的做法,应用临床路径对急诊外科病人进行健康教育.将2003年7月-9月200例急诊外科住院病人随机分成2组,实验组采用健康教育路径进行健康教育,对照组采用传统方法进行健康教育.结果:实验组接受健康教育的效果、对护理工作的满意度、健康教育达标率明显优于对照组(P《0.01).结论:应用临床护理路径对急诊住院病人实施健康教育是一种行之有效的健康教育管理模式.

To elucidate the various of serum complement on HBV Associated Glomerulonephritis (HBV-GN). The levels of PET/UET in normal control and HBV-GN were measured using radioimmunoassay method and the levels of serum Complement were measured by single immunodiffusion technique. The plasma and uriue level of ET were significantly higher than those of normal control (P0.05). The content of serum complement in patients with HBV-GN. was obviously lower than that of control group (P0.05). The ET and complement possibly plays an important role in pathogenesis of HBV-GN and its levevl change may be related to the progress and prognosis of these renal disease.

尿路感染(UTI)是最常见的泌尿系统疾病,其发病率占我国人口的0.9%[1].老年人由于机体免疫功能的改变,生理防御功能下降,同时生殖腺及肾功能的退行性变,使得老年人UTI的患病率随年龄增加而增高.而且由于老年人多伴有高血压、糖尿病、脑血管病、前列腺增生等基础疾病,使症状不典型,早期易造成肾功能损害,应引起临床医师重视[1].本文对我科2000～2002年50例老年住院UTI病人的临床资料进行了分析,现报告如下.

风湿性心脏病病人尽管发生心脏停搏的概率相对较低,但临床上也时有发生,不管是医师还是护士都应保持足够的警惕,一旦发现心脏停搏的征象,如意识丧失,测不到血压,听不到心音和大动脉搏动消失等,应争分夺秒进行心肺复苏处理.心外按压、人工呼吸、心电复律和复律后护理等综合治疗措施必须全面、安全、有效.任何措施失误都可能导致抢救的失败.我们抢救成功1例,现将抢救与护理体会报告如下.

大疱性表皮松解型药疹是药疹中最严重的一种类型,其特点是发病急,首先在颈、胸、背部出现红色及暗红色斑,很快融合成片,发展至全身,并在红斑上发生大小不等的松弛性水疱及表皮松解,尼氏征阳性(用手推动,表皮即可脱落;如烫伤样表现),并有各腔口黏膜糜烂、坏死、剥脱;全身中毒症状严重,伴有高热和肝肾等内脏损害,如不及时抢救,则可因感染、毒血症、肾衰竭、肺炎及出血而死亡.

Objective To evaluate the effect of intensive health education for patients with diabetes mellitus (DM). Methods One hundred and fifty two DM patients were divided randomly into two groups. Eighty patients received intensifying education and 72 received general The quality of life(QOL)of the two groups were evaluated after the education. Results After three months of health education, the QOL of the intensive education group was significantly higher than that of the general group ( t=2.16-2.49,P The level of HbA 1C for intensive education group was lower than that of the general education one ( t=2.32,P 0.05). Conclusion Intensifying knowledge education for patients with DM is an important means to improve their quality of life.

甲状腺功能亢进症(甲亢)是因甲状腺素分泌增多引起的一组以高代谢为特征的征候群,食欲亢进、多食、易饥饿是甲亢病人的典型临床表现,以呕吐为突出表现者临床较为少见,所以该类型甲亢不易被早期发现,在临床上容易漏诊.

近3年来,我们对74例应用呼吸机病人进行临床观察,将其自主呼吸与呼吸机对抗的原因及处理方法进行了总结,现报告如下.