腹部带蒂皮瓣修复手外伤病人的心理问题及护理

[目的]探讨腹部带蒂皮瓣修复手外伤病人的心理护理.[方法]应用自行设计的问卷对40例腹部带蒂皮瓣修复手外伤病人存在的心理问题进行调查分析.[结果]多数病人出现不同程度的紧张、焦虑、恐惧等心理反应.[结论]手外伤修复病人给予针对性护理后能积极配合麻醉和手术.     

腹部带蒂皮瓣移植术的护理

[目的]探讨以手外伤为主的上肢外伤腹部带蒂皮瓣移植术的护理方法。[方法]回顾性分析27例外伤病人的临床资料。[结果]27例行腹部带蒂皮瓣移植术后皮瓣全部存活,伤口Ⅰ期愈合,均痊愈出院。[结论]精心的护理在腹部带蒂皮瓣移植术的整个过程至关重要,对减少术后并发症、术后康复、最大程度的恢复手功能均起到较好的促进作用。     

手外伤带蒂皮瓣移植术病人的护理

[目的]探讨带蒂皮瓣移植术修复手外伤的临床护理。[方法]分析我科自2008年2月—2010年2月行带蒂皮瓣移植修复手部缺损的82例病人的护理,提出护理重点在于严密观察皮瓣血运、血管危象、维持有效血液循环、预防感染及正确的功能锻炼。[结果]皮瓣全部成活,4例皮瓣部分边缘愈合不佳。[结论]对82例带蒂皮瓣移植术病人的术前、术后的悉心护理,病人的手功能得到最大康复,疗效满意。     

手外伤带蒂皮瓣移植术病人的护理

[目的]探讨带蒂皮瓣移植术修复手外伤的临床护理。[方法]分析我科自2008年2月—2010年2月行带蒂皮瓣移植修复手部缺损的82例病人的护理,提出护理重点在于严密观察皮瓣血运、血管危象、维持有效血液循环、预防感染及正确的功能锻炼。[结果]皮瓣全部成活,4例皮瓣部分边缘愈合不佳。[结论]对82例带蒂皮瓣移植术病人的术前、术后的悉心护理,病人的手功能得到最大康复,疗效满意。     

腹部带蒂皮瓣修复手外伤软组织缺损25例临床护理

目的:探讨腹部带蒂皮瓣修复手外伤软组织缺损的临床护理,以提高手术成功率和患者满意度。方法:对25例腹部带蒂皮瓣修复手外伤软组织缺损患者应用术前、术后相关护理措施,有效的实施心理干预、术后临床观察、舒适护理、术后镇痛预防感染及康复护理等。结果:25例腹部带蒂皮瓣修复术患者的皮瓣全部存活,顺利断蒂。结论:有效的护理措施及临床观察是手术成功的重要因素之一。     

腹部带蒂皮瓣修复手部创面的护理

目的总结腹部带蒂皮瓣修复手外伤的护理经验。方法 2006年4月-2009年11月采用腹部带蒂皮瓣治疗手外伤患者86例,术前充分准备,术后止痛安抚,上肢制动,严密观察皮瓣血运情况,指导患者进行正确的功能锻炼。结果手外伤患者86例腹部皮瓣移植成活,手功能恢复满意。结论科学的护理是手外伤腹部带蒂皮瓣修复的有力保障。     

腹部带蒂皮瓣修复术17例围术期护理

目的:探讨手外伤行腹部带蒂皮瓣修复术患者围术期的护理方法.方法:对17例手外伤行腹部带蒂皮瓣修复术患者做好术前、术后护理.结果:本组术后皮瓣全部成活,手外形及功能恢复满意.优10例,良6例,差1例.结论:做好精心围术期护理是腹部带蒂皮瓣修复手外伤成功的关键.     

腹部带蒂薄皮瓣修复手外伤患者的围手术期护理

目的:探讨腹部带蒂薄皮瓣修复手外伤患者的围手术期护理方法。方法:对27例手外伤患者的临床及护理资料进行分析。结果:27例患者中,除3例皮瓣色泽较差外,其余患者皮瓣色泽红,血运良好。结论:对腹部带蒂皮瓣修复手外伤患者进行围手术期护理,有助于患者早日康复。     

聚焦解决模式对腹部带蒂皮瓣修复手外伤患者术后情绪的影响

目的:探讨应用聚焦解决模式进行心理干预对腹部带蒂皮瓣修复手外伤患者术后情绪的影响。方法:腹部带蒂皮瓣修复手外伤患者96例,按照随机数字法等分为对照组和观察组。对照组按照传统解决模式进行常规健康宣教和心理干预,观察组采用聚焦解决模式进行干预。对两组患者干预前后采用焦虑自评量表(SAS)和抑郁自评量表(SDS)进行干预效果评价。结果:应用聚焦解决模式进行心理干预后观察组SAS、SDS评分均显著优于对照组,差异有统计学意义(P0.05)。结论:应用聚焦解决模式实施护理护理,可以明显改善腹部带蒂皮瓣修复手外伤患者术后焦虑、抑郁等负性情绪,对疾病的康复有促进作用。     

腹部带蒂皮瓣在手外伤软组织缺损修复中的应用

目的总结和提高腹部带蒂皮瓣在手外伤伴软组织缺损应用中的修复质量。方法对58例手外伤伴软组织缺损病例应用腹部带蒂皮瓣修复的临床资料进行总结。结果腹部带蒂皮瓣治疗效果好，皮瓣成活58例，2例发生皮瓣边缘坏死，经换药后，自行愈合。结论腹部带蒂皮瓣是修复手外伤伴软组织缺损的有效方法之一，适合于基层医院开展。     

Interaction of peptidoglycans with anti-IgGs and with complement.

This report describes the interaction of peptidoglycan (Streptococcus group A, Staphylococcus epidermidis and Micrococcus lysodeikticus) with 2 serum mediator systems, namely with the anti-IgG system and with complement. The observation that the majority of rabbits hyperimmunized with A-variant streptococcal vaccine produced anti-group carbohydrate antisera containing anti-IgGs and antibodies directed to peptidoglycan suggested that the production of these 2 latter antibodies was related. This view was supported by the finding of a monoclonal 7S anti-IgG with antibody specificity for the pentapeptide of peptidoglycan as evidenced by inhibition of the coprecipitation of 7S anti-IgG with antigen-antibody complexes by the pentapeptide. Inhibition of the anti-idiotype reaction by the pentapeptide provided further evidence for the antibody specificity of 7S anti-IgG for peptidoglycan. When added to normal human sera all peptidoglycan preparations inhibited the hemolytic activity of the sera. Consumption of C3 in C2 deficient serum and consumption of C2 in normal serum indicated the activation of both known complement pathways. Activation of the classical pathway of complement was more efficient since 50 mug of peptidoglycan consumed approximately 70% of C2 per ml normal serum whereas more than 2 mg of the same preparations was required to inactivate 17-24% of C3 in C2 deficient sera. Each of the different peptidoglycan preparations consumed similar amounts of complement in all 20 sera tested. This finding suggested that activation of the classical complement pathway by peptidoglycan was not mediated by anti-peptidoglycan antibodies present in only 20-40% of normal human sera.     

异病酚静脉全麻下复合氯胺酮或曲马多行纳屈酮快速阿片脱毒的效果比较

Toreleasetheseverewithdrawalsymptomsoftheheroinad-dicts,weinjecttheNaloxineinthegeneralanesthesia.160volun-teersreceivedRODwereperformedunderthecombinedanesthesiawithpropofol,midazolamandketamine.1Subjectsandmethods1.1Subjects160volunteerswhoaccordingwiththediagnosticstandardoftheICD-10abouttheopiate-addiction,male:145,fe-male15.Age:(30±6),theeldestwas45yearsold.Themeanbodyweightwasabout(58±8)kg.Educationalbackground:pri-maryschool118cases,juniorhighschool:24casesandseniorhighschool/seco…     

The comparison of effects of rapid opiate detoxification with ketamine complex and with tramadol and naltrexone under general anesthesia with propofol

Objective To release the heroin addicts‘ sufferings,we made rapid opiate detoxification by injecting naloxine under the general anesthesia.Method 160 volunteers were divided at randon into two groups:Group A were performed under the combined anesthesia with propofol,midazolam and kelamine.Group B were performed under the combined anesthesia with propofol with midazolam and tramadol.The vital signs were recorded and the withdrawal syndrome of the volunteers were assessed during the whole process.Result All of the withdrawal symptoms scores 24 hours after ROD in group B were lower than its pre-treatment;The symptoms of the thirs,tsleeping disturbance,nausea and vomiting,skeletal muscular pains and anorexia scores in group A were also lower than its pre-treatment;and no too much differeence belween group A and group B.But tearing,anxiety and diarrhea scores in group A were almost the same as the pre-treatment and higher than group B.Both groups received of the naloxone treatment smoothly,and remained in the hospital for about 3 days.Conclusion The effect of rapid opiate detoxification of naltrexone with the ketamine or tramadol under anesthesia is obvious.The tramadol is better than others.     

替吉奥联合亚叶酸钙及奥沙利铂治疗晚期结直肠癌病人的观察与护理

[目的]总结替吉奥联合亚叶酸钙及奥沙利铂治疗晚期结直肠癌病人的观察与护理。[方法]对25例无法手术切除的晚期结直肠癌病人采用替吉奥胶囊联合亚叶酸钙、奥沙利铂方案进行治疗,同时加强心理护理、毒副反应的观察与护理等。[结果]治疗过程中出现Ⅰ级和Ⅱ级神经毒性8例,恶心、呕吐、食欲下降12例,骨髓抑制5例,变态反应1例,经处理后均好转;1例病人死亡,其余病人均顺利进行治疗。[结论]加强替吉奥联合亚叶酸钙及奥沙利铂治疗晚期结直肠癌病人的护理,可保证治疗的顺利进行。     

艾滋病合并结核病及马尔尼菲青霉病患者的护理

目的通过分析艾滋病合并结核病及马尔尼菲青霉病患者的临床资料,提高对三病并存的护理认识。方法分析并总结26例艾滋病合并结核病及马尔尼菲青霉病住院患者的临床特点、治疗及护理方法。结果本组患者治愈5例,好转13例,死亡8例。存活患者随访6～30个月均未复发。结论三病并存时临床表现复杂,无特异性,护理难度大,应仔细观察病情,及早诊治,精心护理,对改善预后有重要意义。     

An electroencephalographic comparison of alfentanil with other narcotics and with thiopental

Using aperiodic analysis, we compared the EEC produced by alfentanil with the EEGs produced by two other opiates—fentanyl and sufentanil—on the one hand and with the EEG produced by a barbiturate—thiopental—on the other hand. Alfentanil and thiopental were injected over 1 minute: fentanyl and sufentanil were injected over 10 to 15 minutes. From the aperiodic analysis we derived up to seven single-number variables computed over 30- or 60-second epochs. All the opiates induced EEGs that were qualitatively similar to each other, although the maximum or minimum values tended to be greater and the time course more rapid with alfentanil than with the other two opiates. This finding may have been related to the fact that we injected relatively more alfentanil and administered it more rapidly. The EEGs produced by alfentanil and thiopental differed markedly, both qualitatively and quantitatively. The total power at 1 Hz and cumulative power at 3 Hz went to higher peak values with alfentanil, the latter tending to decrease with thiopental. The total number ot waves per epoch went to lower peak values with alfentanil; there was little change with thiopental. The frequency below which 90% ot the power resides went to considerably lower peak values with alfentanil than with thiopental. Finally, total power at 10 to 12 Hz (alpha waves; and average power at 17 to 19 Hz (beta waves) went to very high peak values with thiopental, but decreased with alfentanil. In spite ot differences in the opiate studies in the timing ot injection and the relative amount ot drug injected, the variables that proved useful in their response to fentanyl and sutentanil also proved useful with altentanil. In contrast, almost all variables showed a difference in response between alfentanil and thiopental. Supported in part by Janssen Pharmaceutics, Inc. Pisacataway, NJ, and by Diatek Corporation, and the Veterans Administration Medical Center, San Diego, CA.     

Experience with the treatment of atrial fibrillation with cordarone and digoxin

Paraxysmal and recent cardiac fibrillations have been treated in 42 patients with cordaron combined with digoxin. The arrest of fibrillation was achieved for 5 days in 29 patients (69%) suggesting high efficacy of the combination.     

缩腺液治疗扁桃体炎的疗效观察及其护理

扁桃体炎是儿童常见病、多发病,传统药物治疗可暂缓症状,但不能根治;手术治疗痛苦大、出血多、费用高,常合并有并发症。我科运用缩腺液治疗扁桃体炎3 0例收到了良好的效果。现报告如下。1　对象与方法1.1　对象　本科于2 0 0 2年—2 0 0 3年共收治扁桃体炎病人5 0例,年龄为7岁～2 0岁,分两组进行。缩腺液治疗组3 0例,男13例,女17例;其中重度12例,中度9例,轻度9例;对照组2 0例,男9例,女11例;其中重度8例,中度7例,轻度5例。两组病人年龄、性别、病情严重程度基本一致,差异无统计学意义(P >0 .0 5 )。1.2　方法　对照组采用药物治疗,静脉输注…     

艾滋病合并结核病及马尔尼菲青霉病患者的护理

目的 通过分析艾滋病合并结核病及马尔尼菲青霉病患者的临床资料,提高对三病并存的护理认识.方法 分析并总结26例艾滋病合并结核病及马尔尼菲青霉病住院患者的临床特点、治疗及护理方法.结果 本组患者治愈5例,好转13例,死亡8例.存活患者随访6～30个月均未复发.结论 三病并存时临床表现复杂,无特异性,护理难度大,应仔细观察病情,及早诊治,精心护理,对改善预后有重要意义.