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Acute anterior wall myocardial infarction complicated by cardiogenic shook in an elderly female patient
Case presentation A 73-year-old female was admitted into the Institute of Geriatric Cardiology,Chinese PLA General Hospital because of sudden chest pain accompanied with nausea and vomiting for 15 hours.At 3:00 on August 14th,2011,the patient suddenly suffered from severe chest pain accompanied with perspiration,nausea,vomiting,and cold extremities,but she was under normal conscious level.In the emergency room,electrocardiogram(ECG) at 18:00 showed ST segment elevation on the precordial leads.Cardiac biochemical markers increased proportionally.The patient had a history of hypertension for 10 years which was poorly controlled,chronic bronchitis for several years,cerebral ischemia attack one month ago,and diarrhea one day before admission.She denied any history of smoking,alcohol drinking,or illicit drugs use.
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北京市儿童与肠道病毒71型感染有关的手足口病伴中枢神经系统症状一例
ASE REPORTA 9-year-and-8-month-old girl experienced intermittent headache of 2 d, fever of 1 d and convulsion of 2 h and was sent to the emergency room (ER). Two days before admission, the girl presented with intermittent headache of obscure cause, which had no fixed site and was tolerable, accompanied by dizziness; she had no change in vision, nor vertigo, nausea, vomiting, cough, nasal discharge or otalgia. One day before hospitalization, the girl became feverish, with the highest body temperature of 38. 8℃ while she had convulsions two hours before the visit to the ER, presenting with binocular gazing, trismus, loss of consciousness, initially noncyanotic face, unaccompanied by extremities rigidity or clonus. Her convulsion could not be controlled after intramuscular injection of 6 mg valium at the local clinic and was transferred to a neighboring secondary hospital 20 min later, where she began to develop extremities clonus, irregular respiration and cyanosis.
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急救室管理现状调查
急救室质量管理是护理管理的重要组成部分,它的质量高低将直接关系到病人的抢救是否获得成功.为此对两所综合医院急救室管理现状进行调查,以了解现行急救室管理的实效性,发现急救室管理过程中存在的问题,采取相应的对策,提高急救室管理质量.
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急救室管理模式的改进
急救室管理工作的好坏是抢救工作成功与否的重要前提,我院自2004年以来,不断改进和完善急救室管理办法,逐步形成了高效、节约、安全、便捷的管理模式,使管理工作能真正落到实处,使我院的抢救药品、物品、器械的完好率持续保持在100%,为抢救工作赢得了时机.
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儿童医院急诊科护士人力资源开发与调配
我院急诊科由急诊抢救室及留查室组成,在完成急诊抢救患儿的同时,还要留查大量患儿进行输液及其他治疗.
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急诊室溶栓治疗ST段拾高心肌梗死病人的护理
为了缩短急性心肌梗死(AMI)病人就诊至开始溶栓治疗的时间,尽可能地挽救濒临坏死的心肌,提高AMI的存活率,2003年1月-2006年1月我院急诊室对22例ST段抬高心肌梗死(STEMI)病人进行了静脉溶栓治疗.由于护理配合对溶栓治疗至关重要,故将其护理体会报告如下.
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健康教育在急诊观察室的实施
我院是三级甲等妇女儿童专科医院,其急诊留观的病人,具有病种杂、季节性强、年龄差异大、求治心切的特点.我科根据这些特点,在不断探索的基础上,完善了健康教育资料,建立了一套适合急诊留观病人及陪伴的健康教育实施方法,提高自我保健能力.同时,通过健康教育,改善了护-患关系,提高了护理质量,使急诊护理工作面貌大为改观,现介绍如下.