癫痫持续状态是神经科常见的急诊危重状态,其中约30%虽经常规积极治疗仍不能控制抽搐,称为难治性癫痫持续状态(Refractory Status Epilepticus,RSE)[1].难治性癫痫持续状态治疗和护理困难,死亡率高达50%[2].本文报道丙泊酚(propofol)诱导麻醉成功救治2例RSE患者护理过程的体会.

蛛网膜下隙出血(SAH)最易并发脑血管痉挛(CVS),是患者致残及死亡的主要原因[1].尼莫地平(Nimodipine,NMD)为二氢吡啶类钙离子拮抗剂,是选择性扩张脑血管作用最强的钙拮抗剂[2],具有很强的减轻CVS、扩张脑血管及增加脑血流的作用,临床上应用NMD在预防和治疗SAH引起的迟发性血管痉挛具有显普疗效[3].现就NMD治疗SAH并发CVS的作用机制及护理进展作一综述.

Objective To investigate the training methods in the ICU training base. Method A two -week training plan was set for eight students, teachers were full time. Students were surveyed about their knowlede of ICU before after the study. Their opinion about the training was also collected. Results The eight students was all made substatial progress, and all throught that the training contents were practical. Conclusion The eligibility training for ICU nurses is a new thing in our country. It has an important promoting effect on the development of the ICU nursing work in the hospitals in our city. The training contents and methods should befurther investigated.