This article summarized the clinical nursing experience of a foreign patient with sudden mental disorder accompanied by multiple organ dysfunction. Through scientific ward management, at the same time, strengthen patient communication, strengthen psychological care and humanistic care, do a good job of disease observation and symptomatic treatment, provide life care, self injury prevention, fall prevention and other targeted care, and comprehensively consider the patient's social, physiological, psychological, spiritual and cultural factors, to provide the foreign patients who have just entered the country and are in a sudden mental disorder with multiple organ function damage with care and humanistic care for their unique needs; Through all-round nursing, the patient's condition turned around.

探讨境外输入新冠肺炎疑似病例隔离病区的护理管理策略和实践效果.护理管理策略主要包括改造环境,快速组建隔离病房,培训和考核医护人员,建立流程和制度;以严格落实消毒隔离防护工作为关键点,对隔离观察者加强病情观察、人文关怀、对症护理及管理等措施.共收治342例从境外输入的新冠肺炎疑似病例,实现对观察对象的严密隔离和筛查,其中有9例核酸检测阳性即转送至定点收治医院.隔离病区护理工作从容有序,无院感事件发生.认为针对新冠肺炎的传播特点,严格落实规范化的隔离管理和个性化的护理措施,对控制境外输入新冠肺炎的传播有重要作用.

目的 探讨肺结核并营养不良患者体成分的特点,为临床开展营养支持治疗提供参考.方法 对住院的100例肺结核患者进行人体成分分析测定并完善血清蛋白、血脂检测和胸部CT等检查.根据体质指数(BMI)分为营养不良组(BMI<18.5 kg/m2)和非营养不良组(BMI≥18.5 kg/m2).结果(1)两组患者肺影像学病灶范围差异有统计学意义(P<0.01).肺部病灶范围≥5个肺野相对肺病灶范围≤2个肺野发生营养不良的风险增加(OR=3.472,95％CI:1.253～9.624).营养不良组肺部出现空洞者高于非营养不良组,差异有统计学意义(P<0.001).(2)营养不良组在体成分测定中的身体水成分、蛋白质、肌肉量、体脂肪重量、体脂肪率均低于非营养不良组,差异有统计学意义,(P<0.05).(3)人体成分蛋白质量与血清白蛋白之间差异无统计学意义(P>0.05).体脂肪重量与血清三酰甘油、总胆固醇之间存在线性相关(P<0.05).结论 肺结核并营养不良患者其身体水成分、蛋白质、肌肉量、体脂肪重量等均较非营养不良患者出现下降,肺部病灶广泛及空洞较多.人体成分分析具有操作简单、无创、经济、快捷、可信度高等优点,可帮助我们对结核患者营养状态进行初步筛查并根据其结果给予营养支持治疗.

我国结核病疫情分布广泛,对公共卫生造成严重影响.因此,在公共卫生管理的过程中,应加大健康教育工作力度,在相互协调的情况下,促进患者的康复. 1 结核病管理措施 我国已经有4亿人感染结核菌,500万人患肺结核,其中具有传染性的患者约200万.对于结核病而言,在针对传染源进行管理的过程中,需要采取科学和合理管控,提升工作效率.

目的 探讨PDCA循环管理模式在提高结核科患者痰标本留取率中的应用效果.方法 将本科2014年10～11月需留取痰标本送检的患者作为对照组,2014年12月～2015年1月需要留取痰标本送检的患者作为研究组;对照组是PDCA循环实施前阶段,研究组是PDCA循环实施阶段.对比两组管理前后的应用效果.结果 研究组痰标本留取送检率为94.67％,与对照组比较有明显提高,有统计学意义(P＜0.01).结论 PDCA循环理论应用于结核科住院患者痰标本留取送检的质量管理,有效地提高了患者痰标本留取率,及时为临床提供了诊疗信息,促进了患者的疾病康复,是控制结核病流行的重要举措.

Objective:To determine whether the primary culture of pulmonary venous smooth muscle cells ( PVSMCs) from rats with pulmonary hypertension exhibit functions of vascular smooth muscles, and effect of L-type voltage-dependent Ca2+ channel ( VDCC) antagonist nifedipine on intracellular calcium ion concentration of PVSMCs, so as to provide scientific evidence for research on pathogenic role of chronic hypoxia in development of pulmonary hypertension. Methods: Microscopic operations and collagenase digestion were performed to isolate and culture the PVSMCs from rat model of chronic hypoxia. The PVSMCs were identified and studied for the purity of cultured cells. The effects of chronic hypoxia on resting [ Ca2+] i in PVSMCs and the interventional role of nifedipine were examined with InCyte [ Ca2+] i measurement system. Results:The PVSMCs from rat model of pulmonary hypertension showed typical features of smooth muscles as reflected by “peak and trough” growth pattern and positive immunohistochemical staining of α-actin. The purity of PVSMCs reached 98%. Resting [Ca2+]i in PVSMCs was significantly elevated to (197.9±11.8) nmol/L from 104.3±7.9 nmol/L by chronic hypoxia (P<0.05).5mmol/L Nifedipine was shown to completely block the PVSMC [Ca2+]i response to KCL. Conclusion:Chronic hypoxia increases the resting [ Ca2+] i in rat PVSMCs probably via activation of VDCC in PVSMCs which in turn results in influx of extracellular Ca2+.