膀胱全切改良 Sigma 直肠膀胱术 10 例临床疗效分析

Objectives To discuss The clinical effect study of 10 cases modified Sigma rectum pouch after radical cystectomy.Methods 10 male patients had been performed modified Sigma rectum pouch from Jan.2006 to Jan.2008.A segment of Sigmoid colon was folded and a longitudinal incision about 25cm Was made on the Sigmoid wall and the incision was sutured so as to form a low pressure pouch.The ends of the 2 ureters were anastomosed to - gether to form a big nipple and Wag then drawn into the top of the pouch for 2～3cm and the ureteroSigmoidostomy was accomplished.Results The operative time of modified Signm rectum pouch took 60min.10 cases had been followed up for 5～24months with a mean of 16 months and good urinary continence without acid - base dysequilibri - um.A slight unilateral hydronephrosis occurred in 1 cage.Conclusions The method is the character of short time,a few complication good continence,as well as ,according with physiological requirement.The life quality of patients would be markedly improved.     

脑出血合并高钠血症108例临床分析

目的:探讨脑出血并发高钠血症的发病率及病因。方法:对513例脑出血患者进行观察,108例(21%)合并高钠血症组(血清钠离子浓度>145mmol/L),其余归入非高钠血症组。结果:两组GCS评分及死亡率比较差异均有统计学意义(P<0.01)。高钠血症组中血钠≥160mmol/L者的死亡率与血钠<160mmol/L者相比差异有统计学意义(P<0.01),丘脑出血的比例高钠血症组明显高于非高钠血症组(P<0.01)。结论:高钠血症是脑出血常见并发症,病因与丘脑出血等因素有关。     

后腹腔镜下输尿管上段切开取石术10例

从20世纪90年代开始腹腔镜技术逐渐在泌尿外科得到应用和推广,腹腔镜输尿管切开取石术部分代替了传统的开放手术。本院2006年1月—2008年1月对10例输尿管上段结石行后腹腔镜下输尿管切开取石术,并进行了随访,疗效满意,现报道如下。     

虎口余生,逃离货款诈骗

虽然这是发生在3年前的一次遭遇——在“非典”肆虐全国之际,我在北京陷入了一起惊心动魄的货款诈骗事件,但它至今仍像刚刚发生的那样     

膀胱全切改良 Sigma 直肠膀胱术 10 例临床疗效分析

Objectives To discuss The clinical effect study of 10 cases modified Sigma rectum pouch after radical cystectomy.Methods 10 male patients had been performed modified Sigma rectum pouch from Jan.2006 to Jan.2008.A segment of Sigmoid colon was folded and a longitudinal incision about 25cm Was made on the Sigmoid wall and the incision was sutured so as to form a low pressure pouch.The ends of the 2 ureters were anastomosed to - gether to form a big nipple and Wag then drawn into the top of the pouch for 2～3cm and the ureteroSigmoidostomy was accomplished.Results The operative time of modified Signm rectum pouch took 60min.10 cases had been followed up for 5～24months with a mean of 16 months and good urinary continence without acid - base dysequilibri - um.A slight unilateral hydronephrosis occurred in 1 cage.Conclusions The method is the character of short time,a few complication good continence,as well as ,according with physiological requirement.The life quality of patients would be markedly improved.     

PMMA纳米复合材料的研究进展

聚甲基丙烯酸甲酯(PMMA)义齿基托材料是目前使用最广泛的义齿基托材料,但PMMA的性能仍然存在诸多不足之处,近年来用纳米无机填料增强PMMA性能成为PMMA改性研究领域的新方向。本文简介PMMA纳米复合材料的研究进展。     

炮制中的归经理论与靶向制剂的关系

中药炮制学中的归经理论与药剂学中的靶向制剂具有异曲同工之处,二者都是通过制剂学手段,改变药物在体内的运转行为,以期达到减少毒副作用,增强治疗效果的作用。但是二者的靶向部位及采取的策略具有较大的区别：中药炮制的靶向部位多是以中医理论为指导的经络,是由一个或者数个组织构成,具有一定的整体性;而现代药剂学的靶向制剂靶向部位多以生理学组织、器官、细胞或者细胞器为主,具有显著的精确性。此外,炮制的归经理论多是以对药材进行加工而取得,侧重于通过加工过程改变物质基础达到目的;而靶向制剂侧重于在不改变化学成分结构的基础上,依据靶点的特性及药物体内转运行为,设计新型的辅料,构建智能载体运输药物至特定部位。根据相关文献,选取代表性的研究,探讨二者的区别和联系,为解释中药炮制的归经理论提供一定的参考,为寻找靶向制剂的新策略提供有益的借鉴。<     

短暂单侧肺循环阻断治疗局部晚期肺癌的手术配合

总结了同期阻断肺动脉、肺静脉的单侧肺循环短暂阻断术在局限性T4期肺癌手术治疗的手术配合.术前充分准备,术中注意特殊环节的配合,严格遵守无菌无瘤技术原则,密切观术察中生命体征变化,是保证手术顺利进行的关键.     

应用ECMO成功救治1例重症肺炎患者的护理体会

2015年12月我科收治了1例重症肺炎并伴ARDS及多器官功能衰竭的患者,经2周不间断的ECMO治疗及4周的呼吸机辅助呼吸,已康复出院。该案例是利用V-V ECMO长时间不间断运转,成功救治重症肺炎患者的罕见案例。为同类病例的护理积累很好的经验。本文总结该患者在救治中的护理体会。     

儿童食物过敏的诊断与治疗进展

正食物过敏是指人体对食物中某种物质成分产生的由免疫介导的不良反应。过敏原主要为食物蛋白,婴幼儿及学龄前儿童易于发生。食物过敏在儿童中的发病率为0. 02%～8%,因年龄、地区、过敏原而不同~([1])。我国对31个城市共337 560名0～14岁儿童家长的问卷调查表明,共有19 676人自我报告食物过敏(5. 83%),不同地区、城市、年龄段儿童,食物过敏患病率存在显著差异,华东及东北地区食物过敏发生率最高,西北地区最低。有食物过敏的儿童中,38. 5%有湿疹史,23. 0%