Background: Since December 2019, COVID-19 has been spreading from Wuhan, China to the nationwide and worldwide. Screening and management of children with respiratory symptoms and epidemiological histories of COVID-19 is of great significance in finding infected and asymptomatic cases.Methods: A retrospective case-series study was conducted from January 15 to February 28, 2020. Among the children coming to the hospital, those with epidemiological histories would be referred to the fever clinic. These children must undergo physical and auxiliary examinations to assess whether they have COVID-19. Information about other family members was obtained from the children's medical records and telephone inquiries.Findings: A total of thirty-one children were triaged and assigned to the fever clinic. The interval from the last day of exposure to the date of symptom onset or SARS-CoV-2 nucleic acid test was three to eighteen days (median 8, IQR 6-12). Two cases were confirmed infection and one boy was tested suspicious positive of SARS-CoV-2 nucleic acid. One girl with fever and cough and a history of residence in Wuhan with typical chest image changes was considered as suspicious COVID-19. We found four families with infections and one family with suspected case and tracked these families. All these cases belonged to the groups of high or moderate epidemiological risk levels.Interpretation: The high or moderate risk level of the epidemiological histories and typical features of chest image are the most valuable information for the screening. SARS-CoV-2 nucleic acid test is recommended at least two times for the cases with the above characteristics. Timely detection of children with COVID-19, even those with invisible infection, is of positive significance for the epidemic control.Funding Statement: National Natural Science Foundation of China (No. 81971431 / H0422), Free Exploration Project of Shenzhen Science and Innovation Commission (No. JCYJ20170817100735621) and Opening Project of Shenzhen Institute of Synthetic Biology Innovation, Chinese Academy of Sciences (No.DWKF20190008).Declaration of Interests: The authors have indicated they have no potential conflicts of interest to disclose.Ethics Approval Statement: Data collection and analysis of cases and close contacts were determined by the National Health Commission of the People's Republic of China to be part of a continuing public health outbreak investigation and were thus considered exempt from institutional review board approval.

总结了74例腹腔镜胆总管切开取石术后T型引流管的护理经验,包括术前健康教育、术后体位安置、T型引流管妥善固定和保持通畅、严密观察、出院指导及做好院外管理.结果,本组患者均取得满意的护理效果,术后恢复良好,未出现并发症.认为采取上述各项护理措施,做好患者在置“T”管引流的各期护理,能有效控制了腹腔镜胆总管切开引流术后的并发症,提高手术成功率,对胆道手术患者的康复具有重要的临床意义.

总结了116例行三向瓣膜式PICC置管的肿瘤患者的护理体会,包括了术前宣教、心理护理、置管后的护理、并发症的处理及出院前的健康教育等,认为正确的置管操作、导管维护和健康教育能有效减少并发症的发生,延长PICC的使用时间,提高肿瘤患者化疗期间的生活质量.

目的:探讨医用三氧治疗下肢动脉硬化闭塞症(ASO)的机理和临床疗效.方法 :将61例下肢动脉硬化闭塞症患者(ASO)随机分为治疗组31例行自体三氧血回输治疗,对照组30例行常规"前列地尔注射液"治疗.治疗前后分别进行血液流变学指标的检测,比较两组的临床疗效及治疗前后血液流变学的变化.结果 :治疗组总有效率为96.7％,疗效优于对照组的87.9％(P<0.05);治疗组患者临床症状和体征及血液流变学有明显的改善,两组比较均有显著性差异(P<0.05).结论 :自体三氧血回输治疗下肢动脉硬化闭塞症疗效显著,有改善下肢血液循环的功能.

目的 探讨针对性护理对开胸手术患者术后并发症的影响.方法 选取2016年5月～2018年5月在本院接受开胸手术治疗的80例患者,随机将其分实验组和对照组,各40例.对照组在术后进行常规护理,实验组进行针对性护理,比较2组患者手术后并发症发生率及对护理服务质量的满意度.结果 实验组在手术治疗后出现并发症的患者为11例,对照组为33例,实验组并发症发生率明显少于对照组,实验组患者的满意度97.5％高于对照组,2组差异均具有统计学意义(P<0.05).结论 对接受开胸手术治疗的患者在术后进行针对性护理,可以有效减少患者在术后恢复期出现肺不张、肺部感染、肺水肿、律失常等并发症的发生.

总结了36例下肢深静脉血栓形成患者的预防和护理体会,认为采取促进静脉血液回流、防止静脉内膜伤和防止血液高凝状态的有效措施是防止产后下肢深静脉血栓形成的关键,对已经发生深静脉血栓的患者,应采取心理护理,在抗凝、溶栓期间,密切监测凝血指标、观察出血倾向;在抗凝、溶栓期间做好相关护理等措施;并采取有效措施预防肺栓塞的发生.