总结"互联网+"护理管理策略在新型冠状病毒肺炎患者中的应用经验,内容主要包括:快速组建多学科医护团队、移动互联网管理、以经鼻高流量氧疗和心理障碍干预为主导的相关护理措施.经过精心的治疗和护理,9例新型冠状病毒肺炎确诊患者治愈出院(包括山东省首例确诊患者),所有患者出院后无再次出现发热症状,无明显并发症.目前,在院治疗患者6例,病情逐渐好转.

Objective To compare the mid-long-term efficacy in the treatment of permanent atrial fibrillation (AF) in rheumatic heart disease using monopolar vs.biopolar radiofrequency ablation during the cardiac valve replacement surgery.Methods 151 patients with rheumatic heart disease and permanent atrial fibrillation underwent modified maze procedure using monopolar or biopolar radiofrequency ablation concomitant the cardiac valve replacement in the affiliated hospital of Qingdao university form January 2007 to December 2010.Seventy-nine of them were given the monopolar radiofrequency ablation (monopolar group),and remaining 72 the biopolar radiofrequency ablation (biopolar group).We collected the perioperative data of the patients,and collected the 12-lead electrocardiogram (ECG) or the dynamic electrocardiogram (24 h Holter),the echocardiography data immediately after the operation,at the time of discharge from hospital,3rd month,6th month,and 1 st year postoperatively,and every year after the operation.We also collected the related complications,the recovery of their cardiac function and life quality and some other useful information.We compared the related indexes including the eliminating rate of the atrial fibrillation (including sinus rhythm and nodal rhythm),operation time,postoperative drainage volume,hospital stay after operation,severe postoperative complications,and the mortality in the two groups.Results The radiofrequency ablation time in the biopolar group was longer than in the monopolar group [(31.5 ±3.9) min vs.(17.1 ±2.5) min,P ＜0.01].There was no significant difference in the ascending aorta clamping time [(61.4 ± 20.1) min vs.(57.0 ± 21.6) min,P ＞ 0.05] and the cardiopulmonary bypass time [(104.1 ±27.1) min vs.(93.9 ±37.9) min,P ＞0.05] between the two groups.In terms of the severe perioperative complications such as the renal insufficiency undergoing hemodialysis (2/77 vs.1/71,P ＞ 0.05),the refractory ventricular arrhythmias (1/78 vs.0/72,P ＞ 0.05),the exploratory thoracotomy for bleeding (5/74 vs.4/68,P ＞ 0.05),and the mortality (1/71 vs.1/78,P ＞ 0.05),the difference between the two groups had no statistical significance,suggesting the safety of the two groups was similar.The postoperative hospital stay [(13.6 ± 4.7) days vs.(15.7 ± 10.9) days,P ＞ 0.05] showed no statistically significant difference.The elimination rate of the atrial fibrillation in the bipolar group was significantly higher than in the monopolar group (27/45 vs.36/43,x2 =4.342,P ＜ 0.05).Conclusion The mid-long-term efficacy in the treatment of the permanent atrial fibrillation in rheumatic heart disease using the biopolar radiofrequency ablation during the cardiac valve replacement surgery is better than the using of the monopolar radiofrequency ablation.