Objective To explore the feasibility and operability for constructing military hospital medical technology module to support battlefield medical service. Methods The present situation of field medical technology equipment management, maintenance and user of the PLA was analyzed, and the medical personnel and equipment in the military hospital and field forces were integrated and underwent modular management and utilization. Results Some suggestions were put forward for the use, management and training of the equipment and personnel involved in military hospital medical technology module at peace and war time. Conclusion It's feasible and operable to construct military hospital medical technology module to enhance comprehensive treatment ability of the elementary units.

Objective To construct and apply resuscitation and transfer modules in the field medical unit.Methods Two modules of resuscitation and transfer were developed according to the objective,principle and method of resuscitation and transfer modularity.Totally 3 modes were used during the application of the modules,including independent deployment,combined deployment by brigade and regiment treatment facilities as well as separate deployment.Studies were executed on classification of professional equipment,generalization,integration,portability and etc.The efficacy of establishing the modules was verified in the practical application.Resultd The modules enhanced the efficiency of the field medical unit while saved medical resources.Conclusion The resuscitation and transfer modules and their equipment systems in the field medical unit meet the requirements for rapid deployment,supply,withdrawal and etc of emergency mobile medical unit,and thus raise the medical service support ability.

Based on our medical relief efforts during the "8.12" catastrophic fire explosion in Tianjin,this paper summarizes the organization and implementation of this medical relief.The complexity of the situation and limitated resources of treatment were regarded as the two tough problems facing rescue personnel.It is recommended that military and civilian forces be integrated,resources of health information constructed and that rescue forces be deployed more scientifically.

Objective To investigate the effects of rosuvastatin and pitavastatin on postmenopausal patients with hypertension and lipid abnormalities complicated with impaired glucose tolerance (IGT).Methods A total of 242 consecutive postmenopausal patients with hypertension and lipid abnormalities complicated with impaired glucose tolerance (IGT) treated in our hospital between July 2013 and August 2014 were studied.The patients were randomly and equally divided into two groups:the rosuvastatin group that received rosuvastatin10mg/day and the pitavastatin group that was given pitavastatin 2 mg/day.The levels of total cholesterol (TC),low-density lipoprotein cholesterol (LDL-C),high density lipoprotein cholesterol (HDL-C),trigalloyl glycerol(TG) before medication and at 2,6,12,24 months after medication,fasting blood glucose (FBG),2-hour postprandial glucose (2 hPBG) and the number of new cases of diabetes were compared between the two groups.Results Compared to baseline,the levels of total cholesterol and LDL-C were significantly reduced after treatment (2,6,12,24 months) in both groups(P＜0.01)while the level of HDL-C (12,24 months P＜0.05) was significantly increased.Levels of TC and LDL-C were decreased more significantly in the rosuvastatin group than in the pitavastatin group (2,6,12,24 months P＜0.05),but the level of HDL-C was increased more significantly in the pitavastat group than in the rosuvastat group (24 months P＜0.05).After 12 and 24 months of treatment,levels of FBG and 2hPBG were increased in the rosuvastatin group(P＜0.05),and there was no statistically significant difference in FBG and 2hPBG levels in the pitavastatin group(P＞0.05) . The number of new-onset patients of diabetes was 10 (12 months)and 21 (24 months)in the rosuvastatin group,but was 8(12 months) 、and 14(24 months)in the pitavastatin group (P＜0.05).Conclusion Compared with pitavastatin,the conventional dose of rosuvastatin can reduce the level of blood lipids more effectively in postmenopausal patients with hypertension and lipid abnormalities complicated with IGT,but pitavastatin has no significant effect on the regulation of glucose metablism in patients complicated with impaired glucose tolerance.

目的:探讨卫勤分队装备模块化建设在城市危化品爆炸救援任务中的应用.方法:立足卫勤分队装备模块化建设,采取背囊模块快速前出、车载模块后续加强的方式执行任务保障.结果:模块化建设的应用,提高了卫勤反应的速度,强化了专科救治能力.结论:加强卫勤分队装备模块化建设,强化各类应急预案对提升卫勤分队应急保障能力具有重要意义.

目的 观察瑞舒伐他汀联合普罗布考对女性绝经后高血压合并高血脂患者血管内皮功能的影响及长期联合治疗的临床意义.方法 84例患者随机分为他汀组(瑞舒伐他汀10 mg/d,n=42)与联合治疗组(瑞舒伐他汀10 mg/d+普罗布考500 mg/d,n=42),治疗前和治疗后3个月、6个月、1年、2年后分别检测患者血清血脂、血糖、肝肾功能,并于相同时间点应用高频超声测肱动脉血流介导的内皮依赖血管舒张功能(FMD)和硝酸甘油诱导的内皮非依赖血管舒张功能(NMD).结果 经治疗3个月后两组血清总胆固醇、低密度脂蛋白均明显低于治疗前(P＜0.01),联合治疗组下降更明显(P＜0.05),随着治疗时间延长进一步降低,至6个月时达到相对稳定状态,治疗后2年与治疗后1年比较无明显差异(P＞0.05).治疗后3个月,FMD均明显高于治疗前,两组比较差异有统计学意义(P＜0.05),2年后两组FMD高于治疗1年后,联合治疗组明显高于他汀组,两组比较差异明显(P＜0.01).两组NMD在治疗1年及2年后均明显高于治疗前.结论 长期瑞舒伐他汀联合普罗布考治疗较单用瑞舒伐他汀能更明显改善女性绝经后高血压合并高血脂患者的内皮功能.

目的:探讨中小医院应急医疗队在城市危化品爆炸中的救治流程及有效组织的方法.方法:立即启动应急医疗队处置突发事件医学救援应急预案,合理分工,科学高效组织救治.结果:快速检诊伤员136人,转运重症伤者16人,完成手术64人,换药处置46人,留观输液10人.圆满完成了上级赋予的这次大爆炸医学救援任务,有效检验了应急力量的保障水平和应急能力.结论:中小医院应急医疗队快速反应遂行各类卫勤保障任务,对于提高突发事件现场医学救援的能力和救治成效具有重要的意义.

目的:探讨便携式B超在危化品爆炸救援部队医疗保障中的应用价值.方法:应用威尔德WED-380型便携式B超对130例患者腹部、心脏、浅表器官等进行超声检查,并严格设备洗消及个人防护.结果:腹盆腔检查66例,阳性率18.2％;颈部检查43例,阳性率44.2％;睾丸附睾检查11例,阳性率54.5％;心脏检查10例中,无阳性病例.无仪器二次污染事件发生,无检查医师危化品中毒事件发生.结论:便携式B超能在危化品爆炸救援部队医疗保障中发挥重要作用;检查医师采取必要的设备洗消及个人防护措施,可有效避免二次伤害的发生.

病人,男,33岁.突然发生左侧腰痛.既往无药物及食物过敏史,无慢性病史,体质量约90 kg.腹部B超示:右肾盂、输尿管积水,右输尿管下段结石约1.0 cm ×1.2 cm.尿常规示:白细胞2+,潜血3+,血常规示WBC 11.0×109/L.经超声波及X线双定位后行体外冲击波碎石后,在急诊室静点0.9％盐水250 ml+氨曲南针剂2 g(海南省某制药厂生产).约5 min后(输入10 ml左右液体)出现头面部发热及双侧面部皮肤轻度瘙痒.停输氨曲南,改用0.9％生理盐水静点,静脉注射氢化可的松琥珀酸钠50mg.约10 min患者出现大汗,面色苍白,口唇及四肢末梢重度发钳,呼吸困难,不能言语,即刻出现意识不清,呼吸浅慢.病人平卧,同时抬高双下肢,吸氧.

现代军队医院具有与军队其他部门相同的方面，又具有医院本身的特点，现代军队医院面对体制编制调整、国家医药卫生改革不断深入的新形势，一方面担负着军队后勤医疗保障任务，另一方面面对社会服务。因此，现代军队医院工作必须坚持“科学发展观”真正把科学发展观落到实处，“姓军为兵为民”，把军事效益和社会效益放在首位，以医疗为中心，一切围绕着它的服务对象，不段提高科学技术水平、医疗质量，确保优质服务。现代军队医院要有严密合理又具有灵活多样的组织机构，严格落实各项规章制度，要有明确的岗位责任，实行问责制，进行绩效考评，医院工作时间性强，对诊断、治疗和抢救即要求准确、及时，又要求不间断的观察。工作具有连续性。医院工作的社会性强，医疗服务面广，应尽量满足社会医疗需求，同时要营造和谐的内部外部环境，加强军内外横向纵向的交流与合作。

目的:提高军队中小医院专业技术人员卫勤保障能力.方法:通过对当前军队中小医院应急机动卫勤力量建设存在的问题进行研究分析,提出加强专业技术人员规范管理,加强人装结合训练,科学组训,以及加大专业人员技术培训力度的做法.结果:提高了军队中小医院专业技术人员的专业水平.结论:达到了提高军队中小医院卫勤保障能力的要求.

概述了马斯洛激励理论的主要内容，应用马斯洛激励理论分析了在部队医务人员中实施激励的可能性和必要性，提出通过全面引进薪酬绩效考核、支持医务人员参加专业和科研培训、公平开展职称和职务晋升、大力开展荣誉激励等具体的激励建议。

针对新形势下军事任务多样化、复杂化,保障体系战线“长、小、散、远”等特点,以及需要进行快速应急救治的实际情况,探讨了军队中小医院结合自身特点,采取平战结合,军地急救体系合作,“训保合一”,研制、引进、应用先进的可组装、轻便的多功能战勤装备等措施,建立形成快速、高效、便捷的院前应急救治保障网络系统,大力推进应急战备、应急救援能力建设,提高了军队中小医院院前应急救治卫勤保障能力.

Some measures are put forward to enhance pre-hospital first-aid ability of small-middle military hospital from the aspects of organization, planning, communication, personnel allocation and etc, which lay a foundation for the promotion of medical support ability of small-middle military hospital.

针对军队中小医院的特点,分析了批量伤员院前急救面临的困难,通过注重急救人才培养、制定院前急救预案流程、加强自救互救能力培训、重视强化模拟训练、加强急救装备管理等做法,探讨提高院前急救效率的对策,以期加强批量伤员院前急救能力建设.

目的：探讨MED系统下治疗脱垂型腰间盘突出症的中期效果。方法：回顾性分析2001-2003年间用MED系统治疗的共31例脱垂型腰椎间盘突出症的中期疗效。结果：随访年限8~11年，据国家中医药管理局《中医病证诊断及疗效标准》腰椎间盘突出症疗效标准评定，本组31例病人中：优者24例；良者5例；可者2例。结论：MED系统治疗腰椎间盘突出症是一种有效的治疗手段，中期评价疗效更佳。

目的探讨新医改形势下医院药师工作新途径。方法分析医改给医院药师执业环境带来的冲击,剖析医院药师的执业现状,以一个药师的视角重新审视医院药学技术人员的职能和角色定位。结果目前医院药师大多仍苦守在供应服务前沿,药师的专业价值无法体现,难以赢得医护患群体的认可,然医改形势所迫,药师职责所系,医院药师已到了不得不为"位"而作为的时候了。结论改革是挑战,也是机遇,医院药师应从提升自身综合素质入手,主动作为,拓展工作思路,凸显专业价值,重树医院药师新形象。

目的 探讨总结改良静脉腔内激光闭锁术治疗下肢静脉曲张的护理方法.方法 分析2007～2009年笔者所在医院应用改良静脉腔内激光闭锁术治疗下肢静脉曲张3210例患者的资料,总结术前、术中、术后的护理措施.结果 3210例患者全部康复出院,无一例发生深静脉栓塞.结论 积极有效的围手术期护理,对预防手术并发症、促进康复、保持手术的治疗效果具有极其重要的作用.

目的:通过与传统的大隐静脉高位结扎、浅静脉剥脱术相比,考察大隐静脉曲张高位结扎联合激光治疗的可行性及其疗效。方法:选择进口激光治疗仪对1543例患者施行激光(EVLT)与高位结扎联合治疗。结果:1543例患者治疗效果理想,15例浅静脉曲张部分残存,再行大隐静脉激光治疗而痊愈。结论:大隐静脉的高位结扎联合激光治疗对大隐静脉曲张,效果良好,尤以主干型为佳,但其远期疗效尚待有进一步观察。

我院于2005-07-02～2005-07-11成功抢救艾司唑仑、扑热息痛大剂量中毒致昏迷、角弓反张、呼吸衰竭、肝功能受损、心肌酶罕见升高患者1例,共住院10 d,未遗留明显后遗症,现将治疗体会总结如下.