重症肝炎产妇大出血的临床救治分析

目的 寻找重症肝炎产妇大出血临床救治的有效方法,观察各种止血方法治疗效果.方法 对23例重症肝炎产妇在常规综合治疗基础上,根据产后子宫出血与基础疾病情况给予不同方法止血或预防出血措施.结果 宫腔填塞及子宫切除术共16例病人均获成功止血,应用其它方法救治和预防的患者发生程度不等出血需二次抢救,病人预后差.结论 早期采取宫腔填塞及子宫切除术等确切有效的止血措施是重症肝炎病人救治成功的关键.     

重症肝炎患者血浆置换治疗的临床疗效观察

目的:对重症肝炎患者进行血浆置换治疗,观察其临床疗效,为临床治疗提供更多有效方法.方法:回顾性分析在2016年1月至10月在我院进行治疗的重症肝炎患者,将符合条件的患者分为对照组和观察组,分别实施普通治疗法和血浆置换治疗.总结并分析实验结果.结果:经过PE治疗后,患者肝脏的各项生化指标明显好转,治疗前后的体征变化显著.结论:内科综合治疗联合血浆置换疗法,能显著改善慢性重症肝炎肝功能衰竭患者的临床症状及肝脏生化指标,提高治愈率.     

62例病毒性重症肝炎死亡原因分析

目的总结重症肝炎的诊治经验,提高抢救成功率。方法对2001年1月~2005年12月我院62例住院病毒性重症肝炎死亡病例进行统计分析。结果62例重症肝炎死亡病例中,60例肝性昏迷,为重症肝炎死亡的首要死亡原因,占96.77%;其次是出血倾向,占75.81%;第三是感染,占54.84%;第四是肝肾综合征,占37.10%,并发症为重症肝炎病人死亡的主要原因,并发症越多,死亡率越高。结论早期诊断,早期预防及治疗并发症,是提高重症肝炎存活率、降低死亡率的重要措施。     

妊娠合并重症肝炎的临床护理

目的探讨妊娠合并重症肝炎的临床护理措施,降低产妇和胎儿的病死率。方法对2008年1月—2010年6月我院26例妊娠合并重症肝炎患者资料进行回顾性分析。结果治愈好转15例,死亡11例,病死率42.3%,胎儿成活8例,成活率占30.8%。结论妊娠合并重症肝炎患者应重点做好意识、病情观察、产前监护,以及产后护理措施等。     

医院感染对重症肝炎预后影响的分析

目的分析和了解医院感染对重症肝炎患者预后的影响. 方法回顾性分析和总结我院近10年收治的96例重症肝炎患者的医院感染. 结果 96例重症肝炎患者发生医院感染者39例(40.6%),发生医院感染的重症肝炎病者的病死率(53.8%),明显高于无医院感染的病例(38.6%),两者差异有显著性(P＜0.05). 结论医院感染直接影响到重症肝炎的预后,发生医院感染的重症肝炎病死率相对高.     

重症肝炎的激素治疗

重症肝炎的激素治疗意见迄今不一,由于用药后的副作用多,因而在一定程度上限制了它在重症肝炎中的应用。我科自1980年1月起采用适量激素,短程静脉滴注(简称短程疗法)或较长期口服并用辅酶 Q_(10)治疗重症肝炎16例,获得较好效果,现报告如下:一、治疗对象我们以1978年杭州全国肝炎学术会议诊断标准为标准,选亚急性重型肝炎5例,重症肝炎早期型(本科规定标准、条件附后)11例,共16例。其中男12例,女4例。年龄21～72岁。黄疸指数100单位以上者14例,     

重症病毒性肝炎的多系统器官功能衰竭

我院自1984年—1989年共收治重症肝炎49例,发生多系统器官功能衰竭者30例(61.2%)死亡27例(90%).为了解重症肝炎的肝功能检测结果与发生多系统器官功能衰竭的关系及多系统器官功能衰竭对重症肝炎预后的影响,现分析报告如下。     

妊娠合并重症肝炎32例临床分析

目的:总结妊娠合并重症肝炎的诊治经验。方法:对32例妊娠合并重症肝炎患者的诊断治疗进行回顾性分析。结果:产妇死亡率21.88%,围产儿死亡率37.5%,剖宫产率65.63%,子宫切除13例(40.63%)。结论:妊娠合并重症肝炎起病急、病情重、愈后差、母婴死亡率高,提高治愈率的关键在于早期诊断、早治疗、及时的产科处理。     

中药保留灌肠在慢性重症肝炎治疗中的应用

慢性重症肝炎是在慢性活动性肝炎或肝硬化的基础上发生的亚急性肝坏死,病情危重,病死率高,目前尚无特效疗法.我科于2004年～2007年采用中药保留灌肠治疗慢性重症肝炎30例,取得较好疗效,报告如下.     

前列腺素E_1治疗重症肝炎46例疗效观察

重症病毒性肝炎 (以下简称重症肝炎 )发病机理复杂 ,目前尚缺乏特效的治疗方法。我院自 1997年以来在常规治疗基础上加用前列腺素Ｅ1静脉滴注 ,并与常规治疗对照 ,获得较为满意的疗效 ,现将结果报道如下。1　资料与方法1·1　病例选择　 1997年 3月至 1999年 5月共收治急性和亚急性重症肝炎 92例。诊断标准参照 1995年全国传染病与寄生虫病学术会议所订标准。将收住患者随机分成前列腺素Ｅ1治疗组和对照组。其中治疗组 4 6例 ,包括急性重症肝炎 6例 ,占 13 0 4 % ,亚急性重症肝炎 4 0例 ,占 86 96%。对照组 4 6例 ,其中急性重症肝炎 5例 ,占…     

Trends in meningococcal disease in Italy in 1988

Meningococcal disease in Italy decreased 15% in 1988 from the previous year (290 vs. 342 cases). The decline was particularly evident in military cases (1.7/100,000 in 1988 vs. 5/100,000 in 1987) reflecting the full coverage of bivalent serogroup (A + C) meningococcal polysaccaride vaccine in army recruits, achieved since January 1988. The highest proportion of cases was seen in people older than 25 years of age (25%). Serogroup C constituted 60% of the isolates, while 19% belonged to serogroup B. The proportion of strains resistant to sulphonamides was 45%, while 15% were resistant to Minocycline and none to Rifampin. Out of the five military cases, only one (due to serogroup C) was attributable to the vaccine failure. A single coprimary case, but no secondary cases occurred among civilians. These findings are consistent with the trends reported in Italy in the previous years.     

Benzene in blood and phenol in urine in monitoring benzene exposure in industry

Determinations of benzene concentration in blood and of phenol in urine were made by head-space gas chromatography techniques on samples taken near the end of the work day from two groups of workers potentially exposed to low levels of benzene in the work-place atmosphere. Preliminary results suggest that benzene in blood is more reliable than phenol tests for assessing both exposure and uptake of benzene. Normal values of phenol in urine (10 mg/liter or less) were found in nearly all those cases in which benzene was detected in the blood.     

2015年郑州市饮用水放射性水平状况调查

目的了解郑州市不同地区、不同季节、不同水源类型的放射性水平。方法分别于丰水期和枯水期采集郑州市区黄河水源水、井水源水、丹江口水源水、出厂水和末梢水各一份;以县为单位,每单位采集出厂水、末梢水、水库水、河水、井水各1份,按《生活饮用水生活标准检验方法》(GB/T 5750.13-2006)检测饮用水中总α和总β放射性水平,依据《生活饮用水卫生标准》(GB 5749-2006)进行判定。结果丰水期、枯水期水体总α、总β放射性水平均低于国家标准限值。结论郑州市不同水源类型均处于正常的天然放射性本底水平。     

Occupational stress in nurses in psychiatric institutions in Taiwan

Nurses are known to be exposed to occupational stress. However, occupational stress is not well documented for nurses in psychiatric institutions in Taiwan. A cross-sectional study was conducted to explore the work-related stress and risk factors of nurses in psychiatric institutions in Taiwan. A structured questionnaire was distributed to nurses at five state-owned psychiatric hospitals in Taiwan in 2001. Demographic information, working environment, and personal health status were inquired. Occupational stress was assessed based on the Chinese version of Job Content Questionnaire (JCQ). General health status and mental health were evaluated by the International Quality of Life Assessment Short Form-36 (IQOLA SF-36). A total of 573 questionnaires were disseminated to nurses and 518 (90.4%) were satisfactorily completed by nurses, including 408 female full-time nurses who had been in their current work for more than 6 months. In the past one month, 17.2% of nurses reported being under significant stress often or always. Assault episodes were reported by 45.1% of nurses in the past 6 months. Among the nurses, 16.9%, 25.2%, 50.0%, and 7.8% belong to the "High strain", "Low strain", "Active", and "Passive" groups, respectively. Perceived occupational stress was associated with young age, widowed/divorced/separated marital status, high psychological demand, low workplace support, and threat of assault at work. Lower general health score was associated with low job control, high psychological demand, and perceived occupational stress. A lower mental health score was associated with low job control, high psychological demand, low workplace support, and perceived occupational stress. We concluded that nurses in psychiatric institutions are under significant stress related to work factors.     

Changes in nursing administration in supporting transplantation in Brazil

This historical and bibliographic study aimed to understand how Nursing was organized to support care in transplantation. The HISA, LILACS, BDENF, PERIENF and DEDALUS databases were consulted, and thirteen references were found, ten of which were scientific articles, two were master's dissertations and one was a doctoral thesis. The span of time chosen for study ranges from the date of the first kidney transplant in Brazil (1965), to the date of publication of the last scientific article found in the databases mentioned above (2003). After reading these articles, the ones that were similar in topic were grouped together, thus creating the thematic axis for the presentation of the results. The results showed that the Nursing profession has played an important and active role in transplants ever since the first procedure in 1965.     

2019年中国肿瘤流行病学研究进展

恶性肿瘤已成为中国居民的主要死因之一。近些年来,中国政府积极推进肿瘤预防和控制领域的研究工作,取得了很大的进步。本文简要汇总中国在肿瘤流行病学领域的研究进展,具体包括2019年的肿瘤负担、癌症危险因素及其干预、筛查和早期发现、癌症防治专项行动(2019-2022年)方案等方面,以期为我国肿瘤防治工作的有效开展提供技术支撑和理论依据。     

2012年绵阳市蔬菜中农药残留状况

目的 了解绵阳市2012年市售蔬菜中农药残留情况,为食用蔬菜监管提供依据.方法 全部样品均按照GB/T 5009-2003的方法进行农药的残留检测.依据GB 2763-2005《食品中农药最大残留限量》进行判定.结果 2012年共检测蔬菜165份,农药检出率和超标率分别为72.12％和23.64％.豆类、根茎类、叶菜类、瓜果菜类和食用菌类蔬菜检测农药残留超标率分别为8.00％、23.53％、36.00％、5.26％和27.03％,差异有统计学意义(x2=11.41,P＜0.01).不同种类农药超标率差异有统计学意义(x2 =62.42,P＜0.01).夏季和冬季蔬菜农药超标率差异无统计学意义(x2=3.44,P＞0.05).结论 绵阳市叶菜类蔬菜中农药残留情况较为严重,应采取有效措施,加强蔬菜的监督管理,从源头禁止高毒农药的使用,加大蔬菜种植、销售环节的监测,确保市民食用蔬菜的安全.