鼻内镜手术治疗鼻部疾病的护理

总结了278例鼻内镜手术治疗鼻腔疾病的护理体会,包括精心做好术前、术中、术后的健康教育、心理护理,充分调动手术患者的积极配合和手术后有序的治疗.认为通过对患者的关心爱护和精心护理,可提高治愈率.鼻腔疾病范围小,部位特殊,使用鼻内镜手术效果比较好,但也要求护理人员技术娴熟,心理护理深入,责任心强.通过对278例手术患者的前后护理,患者康复出院,治疗效果及护理质量满意率较高.     

鼻内窥镜下鼻部手术患者的护理

总结了291例鼻内镜下鼻部手术患者的临床护理经验,包括术前准备、心理护理;术后护理,严密观察病情,预防术后并发症及术后康复期健康指导.认为鼻内镜下鼻部手术创伤小、并发症少、疗效好,术前术后良好的护理措施对患者的康复起着重要作用.     

内镜检查下慢性胃炎的临床观察与分析

内镜(endoscopy)是直接观察、诊断和治疗人体腔或管腔内疾病的可靠工具,迄今已有100多年历史.随着内镜技术的飞速发展,将会有越来越多的图像更清晰、功能更强大的内镜问世,在临床上发挥了越来越重要的地位.我院从2010年1-12月镜下诊断为慢性胃炎共190例,占胃镜的65%(总胃镜人数292人),而萎缩性胃炎有95例,对其进行相关分析.     

经鼻内镜下鼻甲成形术与下鼻甲部分切除术治疗慢性肥厚性鼻炎疗效比较

目的 评价并比较经鼻内镜下鼻甲成形术与传统下鼻甲部分切除术治疗慢性肥厚性鼻炎疗效.方法 304例慢性肥厚性鼻炎患者随机分成A、B两组,分别行经鼻内镜下鼻甲成形术与传统下鼻甲部分切除术,比较两组手术情况,黏液纤毛传输速率及1年内疗效情况.结果 两组手术时间、术中出血量、鼻腔干痂持续时间及创面愈合时间均具有显著性;黏液纤毛传输速率A组手术前后显著差异性.B组手术前后差异无显著性.两组疗效比较x2=7.309,P=0.026,差异具有显著性.结论 经鼻内镜下鼻甲成形术治疗慢性肥厚性鼻炎疗效优于下鼻甲部分切除术.     

Cancer of the nasal cavity and paranasal sinuses and exposure to environmental tobacco smoke in pet dogs

PURPOSE: To evaluate dynamic MR imaging of the pituitary gland. MATERIAL AND METHODS: 19 patients with suspected mass lesions of the pituitary gland were examined at 1.5 Tesla with dynamic and standard MRI using a Turbo-FLASH sequence (1 image/s for 40 s). RESULTS: In 13/19 patients microadenomas were detected. One of the 13 microadenomas was detected using dynamic imaging and was not seen on standard MRI. The remaining 12 microadenomas were diagnosed with standard MRI. CONCLUSION: Dynamic imaging of the pituitary gland is a time-consuming and costly diagnostic technique. If laboratory results suggest the presence of a microadenoma and conventional MRI is unable to localise it, dynamic imaging should be performed.     

Vibrometry of the vocal cords in healthy patients and in patients with nasal and paranasal sinus diseases]

The paper presents vibrometry data on resonance function of the vocal apparatus in healthy subjects and patients suffering from nasal and paranasal sinus diseases. It is shown that changes in the resonance function promote negative trends in development of dysphonia.     

The nose in leprosy: immunohistology of the nasal mucosa

The alignment of single-particle images fails at low signal-to-noise ratios and small particle sizes, because noise produces false peaks in the cross-correlation function used for alignment. A maximum-likelihood approach to the two-dimensional alignment problem is described which allows the underlying structure to be estimated from large data sets of very noisy images. Instead of finding the optimum alignment for each image, the algorithm forms a weighted sum over all possible in-plane rotations and translations of the image. The weighting factors, which are the probabilities of the image transformations, are computed as the exponential of a cross-correlation function. Simulated data sets were constructed and processed by the algorithm. The results demonstrate a greatly reduced sensitivity to the choice of a starting reference, and the ability to recover structures from large data sets having very low signal-to-noise ratios.     

Cobalt 60 radiotherapy for treatment of squamous cell carcinoma of the nasal cavity and paranasal sinuses in three horses

Three adult horses underwent aggressive treatment of squamous cell carcinoma of the nasal cavity and paranasal sinuses, using course-fractionated cobalt 60 radiotherapy. Squamous cell carcinoma of the nasal cavity and paranasal sinuses is not commonly diagnosed in horses. Historically, horses with this type of neoplasm have not been treated or have undergone some form of surgery. The prognosis for long-term survival or cure has been poor. Long-term results of cobalt 60 radiotherapy were good to excellent and exceeded those usually reported for horses treated surgically. On the basis of these results, use of radiotherapy for these neoplasms is recommended.     

Review of Beyond the reflection: The role of the mirror paradigm in clinical practice.

Reviews the book, Beyond the reflection: The role of the mirror paradigm in clinical practice by Paulina Kernberg, Bernadette Buhl-Nielsen, and Lina Normandin (see record 2007-00911-000). This modestly presented volume overflows with insight and new ways of looking at the mirroring experience for children and adolescents. Kernberg and her collaborators present the rich history of the image, metaphor, and pervasive role of the mirror in human experience; they carefully describe the "subjective experience of wonder, admiration, and an objective dimension of truth" in the mirror paradigm (2006, p. xv). For the psychotherapist, Kernberg's work provides a rich resource; the review of past and current research and theorizing about the mirroring function of mothers and primary caregivers is thorough and up-to-date with the most recent advances in neuroscience, attachment theory, and infant research. From Freud to Lacan, from Winnicott to Stern, and from Schore to Gergely, Kernberg presents a sweeping exposition of the various images of the mirror. This volume is worthwhile if only for its presentation of this body of recent research. But there is so much more to be found here. While this is not the first time that Kernberg has presented us with her work with mirror observation and interviews (Kernberg, 1984, 1987), this volume integrates the research about early mother- child experience, and the mirroring paradigm in the psychoanalytic theories about child development, with the phenomenology of child and adolescent psychotherapy. The clinician will find a useful application of the theory to clinical practice and diagnosis that is hard to find in the literature. Beebe and Lachmann (2002) have accomplished this integration between infant research and adult treatment, but Kernberg's application of her research and the demonstrated correlation between the findings of mirror experience, attachment histories, and clinical experience is a rare and welcome addition to the literature. There are also valuable links made between the findings around mirror experience and children's trauma histories. This reader came away feeling that a tremendous debt is owed to the authors for helping to ground clinical theory and practice in substantial current research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The use of benzyl alcohol and amyl-m-cresol (Strepsils) in the oral cavity. (Review of the literature and first clinical experiences)

The authors summarised the literature data of benzylalcohol and amyl-m-cresol. In the clinical practice they used Strepsils in the treatment of 22 patients suffered from oral inflammatic diseases and in the 20 prophylactic cases of oral surgical interventions. The preliminary clinical report shows that, the Strepsils seems to be very effective in the treatment of oral inflammations and in the prophylaxis too.