总结1例播散性鸟分支杆菌合并膝关节马尔尼菲青霉菌感染患者的护理.护理要点是发热患者的基础护理,术后疼痛护理,两性霉素的用药护理及用药后的并发症护理,做好留置管道和心理上的护理.患者确诊后11d转回当地医院继续康复治疗.

总结1例肠型白塞病患儿消化道出血及穿孔的护理经验.护理要点包括:消化道出血的护理、引流管的护理、营养支持、用药护理、经外周静脉穿刺中心静脉置管护理、患儿及家长的心理护理等,经过积极治疗与精心护理,患儿病情得到控制,转至消化科继续治疗.

Objective To evaluate the effect of breast blood oxygen functional imaging combined with mammography on breast cancer screening in women aged over 40 years.Methods A total of 10 076 cases of women in our hospital underwent breast blood oxygen functional imaging and mammography X -ray examination.The breast imaging report and data system (BI -RADS)III level of women performed on the biopsy pathology were used as the gold standard.The effect of different inspection methods were compared and analyzed.Results Among 10 076 cases,235 cases were diagnosed as BI -RADS,which was diagnosed by blood oxygen functional imaging system and a molybdenum target X -ray diagnosis of III.Thirteen cases with early breast cancer were diagnosed by needle biopsy.And 222 cases were diagnosed benign lesions.The sensitivity of the blood oxygen functional imaging system was 69.23% (9 /13)and 85.58% (190 /222), respectively.The sensitivity of molybdenum target X -ray was 76.92% (10 /13),and the specificity was 82.88% (184 /222).The sensitivity of combined detection was 100.0% (13 /13)and the specificity was 82.88% (184 /222).The accuracy index of combined molybdenum target X -ray (0.829)was significantly higher than that of single detection (0.548 and 0.598)(U =2.117,2.501,P <0.05).Conclusion Breast blood oxygen functional imaging instrument combined with molybdenum target examination could effectively improve the accuracy of diagnosis in breast cancer screening among women over 40 years.