核辐射损伤伤员去污洗消是救援的重要环节.核辐射危重伤员现场救治遵循"先救命后去污、边抢救边去污"的基本原则,待伤员生命体征平稳后,立即对伤口进行精密洗消[1].常规洗消方法容易造成洗消液外溅,扩大污染面积.而污染物的二次污染特别是处置伤口可能造成的污染尤为突出,为了降低二次污染的发生率和严重程度,本文通过平时演练与训练,结合临床外科手术操作技术,总结探讨医用手术膜在核辐射重伤员伤口洗消中的应用.

咽喉部异物是耳鼻喉科常见的急症之一,患者症状明显,一般情况下可在间接喉镜下取出,但如果异物位置隐蔽,患者难以配合,则不易取出.随着医学技术的发展,可采用纤维喉镜检查发现异物并取出.纤维喉镜又称"软式内镜",镜身的屈曲度可达到180 ° ,能观察到咽喉部隐蔽位置,再利用其显示器放大功能,通过医师和护士的配合就能将异物取出.现将护理配合报告如下.

Objective:To investigate the status of disaster preparedness and relief capability of outpatient department nurses in a military hospital to give an advice on how to prevent and improve the training capacity .Methods:To investigate 34 nurses in a military hospital outpatient department by taking the disaster readiness questionnaire and disaster relief survey. Results:The sample of nurses were short of disaster preparedness. Although all nurses could know well disaster relief classification evacuation and emer-gency rescue position, and 79.4%nurses could formulate self-rescue plans, and 88.3%nurses had taken part in relevant training of di-saster relief, the department had never developed“Three Defense”medical rescue training. The sample of nurses were short of disas-ter nursing knowledge, the correct rate of 11 questions was 64.5%. In the knowledge level of care for the injury assessment, CPR, bleeding, surgical dressings, fixation, handling ,the grasp rates were much better as high as 85%.The correct rates were 64%-77%in classification delivery and defense of infectious diseases.The correct rates were 20%-24%in“Three Defense”medical rescue knowl-edge.Intermediate grade, undergraduate nurses in grasp situation of emergency rescue knowledge was significantly higher than ju-nior ones or college educated nurses, the difference was statistically significant (P<0.05). Conclusion:The low level of disaster re-sponse preparedness and disaster relief capacity needs to be improved, good preparation in peacetime relief work and disaster relief training and exercises needs to be strengthened in order to improve the level of disaster relief for military hospital outpatient depart-ment nurses.

门诊是医院面向社会的窗口，是直接接待患者进行检查、诊断、治疗和开展预防保健、健康教育的场所，是医务人员与患者接触时间最早、人数最多、范围最广泛的部门。门诊以人员数量多、流量大、病情复杂及变化快，患者相对停留时间较短为特点。

Objective To evaluate the ability of self-care and family support for discharged patients after disease remission of acute leukemia,and to analyze their influencing factors and correlation.Methods From July to September 2011,69 patients with acute leukemia in the hospital were investigated on the influencing factors and correlation of their self-care ability and family support by self-designed questionnaire and family support Apgar questionnaire.Results The self-care ability score was higher in the discharged patients with acute leukemia.The scores were significantly higher in the daily patterns of life dimension of patients older than 30 years and married patients,in infection prevention dimension of female patients and in diet dimension of patients with high school education level and above(P<0.05).The self-care ability and family support was positively related,and the difference was statistically significant(P<0.05).Conclusion Nursing staff should provide the individualized and targeted health guidance for discharged patients after disease remission of acute leukemia so as to help them correctly understand their illness and remind their families of the importance of physical and mental care so as to improve the patients' self-care ability.

Configuration and input chemotherapy drugs are one of the main jobs of the nurse,so it caused great threat to the health of the nursing staff.Occupational protection has already become our topic of high attention in recent years.Although many hospitals has established Pharmacy Intravenous Admixture Services,at work there are still a lot of temporary chemotherapy which need clinical nurses to dispose and contact antitumor drugs.This may lead to personal health risk.This paper reviewed common occupational exposure pathways during the anti-tumor therapy process,and put forward corresponding protective measures to provide medical personnel security information.