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Objective: To explore the diagnostic and therapeutic approach of integrated traditional Chinese and western medicine (TCM-WM) on infectious multiple organs dysfunction syndrome/multiple system and organ failure (MODS/MSOF) for elevating the successful rate of rescuing the patients. Methods: Diagnosis with western medicine and Syndrome Differentiation of TCM in 225 in-patients of acute infectious disease complicated with MODS/MSOF were conducted, and TCM treatment, based on western medical comprehensive treatment, was given to observe the effect and explore the mechanism of the TCM-WM therapy. Results: Up to the end of 1998, 161 cases of the 225 cases were successfully cured and 64 died, the mortality being 28.4%. Among them, 58 out of 140 cases of MSOF died, the mortality was accounted for 41.4%. In 106 cases conformed to the diagnostic criteria of MSOF proposed by Professor Knaus WA, USA, 52 cases were cured successfully and 54 died, the mortality being 50.94%. Conclusion:TCM-WM treatment could elevate the therapeutic effect in treating MODS, the mechanism might be through improving the hemodynamic and hemorrheologic condition of patients to relieve nail-fold microcirculation disorder; influencing the levels of cytokine and inflammatory mediator, so as to alleviate the systemic inflammatory reaction, it might also abate the inhibited condition of gastro-intestinal motility, alleviate the intestinal flora imbalance, prevent intestinal bacteria and endotoxin malposition, and protect cells from peroxidation.
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群蜂蜇伤致多器官功能衰竭22例临床分析
目的:提高群蜂蜇伤致多器官功能衰竭的诊断和治疗水平。方法回顾性分析我院2014年收治的22例重症蜂蜇伤的临床资料,初步探讨其临床表现、诊断及治疗方案。结果22例群蜂蜇伤致多器官功能衰竭患者主要累及脏器为心脏(22/22,100%)、造血器官(21/22,95.5%)、肝脏(20/22,90.9%)、肾脏(12/22,54.5%)。其中4例出现过敏性休克。蜂蜇伤后出现心肌酶谱异常(22/22,100%)、血象升高且以中性粒细胞为主(21/22,95.5%)、APTT升高(21/22,95.5%)、应激性血糖升高(15/22,68.2%)等。给予局部和全身综合治疗后6例痊愈,13例好转,3例死亡。结论群蜂蜇伤易出现心、血液、肝、肾等重要组织器官的损伤,甚至出现过敏性休克,及时就诊,给予局部处理、激素治疗、抗感染,必要时早期行血液净化治疗等综合治疗有助于提高疗效,降低死亡率。
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肿瘤个体化综合治疗时代外科的重新定位
众所周知,个体化综合治疗(individualized comprehensive treatment)是目前肿瘤治疗的主要模式。外科治疗虽然继续发挥着主要作用,但随着肿瘤治疗模式的不断改变,外科治疗地位在整体综合治疗体系中也发生着变化。如何更好地发挥外科治疗在个体化综合治疗中的作用,是每一位肿瘤外科医师需要思考的问题。
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综合治疗儿童股骨头坏死一例
儿童股骨头缺血性坏死又称股骨头无菌性坏死、股骨头骨软骨病,1910年由Legg(美国)、Calve(法国)、Perthes(德国)三人分别报告,因此又称Legg-Calve-Perthes病(简称Perthes病),是发生在儿童股骨头局部的自愈性(自限性)疾病.
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糖尿病综合治疗模式在高血压病病人管理中的应用
高血压是慢性终身性疾病,发病率高,与遗传、肥胖、膳食等因素有关,血压不能得以合理控制可引起严重的心、脑、肾并发症等.因此健康教育在高血压病病人的护理中显得尤为重要,而在高血压病人健康教育需求调查中,有79.1%的病人不能遵医嘱长期规律服药,66.4%病人不能自我监测和记录血压,5%左右病人仍未戒烟酒,疾病不能控制和治疗[1],针对上述存在的问题,结合临床实践中,糖尿病综合治疗措施已广泛应用于糖尿病病人的治疗中,并且取得了较好的效果,我科2009年以来,对收住我科的38例高血压病病人应用糖尿病综合治疗的模式进行管理,有效地控制了血压,提高了高血压病的治疗效果.现将护理介绍如下.
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乳腺癌病人综合治疗后的随访护理
乳腺癌已成为威胁妇女健康的第一位恶性肿瘤,世界范围内每年新增乳腺癌病人120万人[1].随着我国经济的快速增长,国民生活、文化水平的提高,工作节奏的加快及压力加大,乳腺癌的发病率居发展中国家首位,以每年2%~6%的速度递增.乳腺癌的综合治疗固然重要,但如何提高乳腺癌病人治疗后的生活质量成为医患双方及社会普遍关注的重要问题.
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慢性酒精性肝病病人行综合治疗干预的观察及护理
酒精性肝病是因长期、大量饮用多种含乙醇的饮料所致的肝脏损害性病变.主要有3种形式:酒精性脂肪肝、酒精性肝炎、酒精性肝硬化,可单独或混合存在[1].过去本病主要见于西方酒精平均消耗量比较高的国家,但近年来随着我国经济的发展,人均酒精消耗量不断增加,酒精性肝病在我国已不算少见,并呈逐年增加的趋势,且饮酒时间越长,饮酒量越大,发展成为酒精性肝炎或酒精性肝硬化的几率越高.慢性酒精性肝病已成为导致肝硬化中仅次于病毒性肝炎的第二大致病原因,越来越受到我国各类研究人员的重视.因此,对我院26例酒精性肝病病人进行了综合治疗干预,效果良好.现报告如下.
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爱国卫生运动在蚊虫综合治理中的作用
随着经济社会的发展,各地城市建设如火如荼,规模日益扩大,城乡一体化进程、新农村建设速度加快,人们的生活环境、生活方式不断改善,同时近年来气候的变暖,全球生态系统的变化,交通与物流的便捷也为蚊虫等病媒生物的繁殖、扩散提供了便利条件[1].
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顽固性颈性眩晕不同治疗方案的前瞻性研究
Objective The aim was that prospective study was done on different affect of three different treatment projects in the effect rate, the cause and recurrence rate in 12 months. Methods 183 patients of vertigo caused cervical syndrome with disturbance of hemorheology and microcirculation divided into three groups. Every group was treated by different treatment project. A group: acupotoment and manipulative reduction; B group: applied drugs of ameliorating microcirculation and reducing blood viscosity; C group: associated therapy of A and B. Results (1)On the effect rate,A and C groups were same(P >0.05),B group was the lowest comparison A and B groups(P<0.001),but on the cure rate of A andB groups,C group was better;(2) On the cause,C group was the shortest comparison A and B groups(P<0.001),B group was the longest comparison A and C groups(P<0.001);(3) On recurrence rate in 12 months, A and C group were same(P >0.05),B group was the highest(P<0.001).Conclusions Comprehensive treatment project may be better on obstinate vertigo caused cervical syndrome comparising with any single treatment therapy.
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心理行为干预对颈性眩晕患者康复效果的影响
BACKGROUND:Cervical vertigo(CV) belongs to vertebral artery type of cervical spondylopathy which clinical manifestation was paroxysmal vertigo and is highly related to cervical motion.Recent clinical experiences proved that comprehensive treatment was superior to simple treatment.Because of patients were in different departments,therapeutic methods were also different,effects produce slowly,remote effects were not obvious and recurrence rate was higher.
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高压氧综合治疗鼻咽癌患者放射性脑损伤26例
INTRODUCTION Because nasopharynx is near to base of skull,radiation therapy might cause radiating brain injury that will influence patient's life quality.
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高原小儿外科感染性休克探讨
本文对105例高原小儿外科感染性休克进行了总结.临床观察和实验室资料表明,高原地区健康小儿的血液流态具有粘、浓、聚三大特点,微血管在缺氧环境下处于痉挛代偿状态.感染性休克时血管痉挛明显加重,持续时间长,代偿机能差,休克早期就会出现微循环障碍,因而高原小儿感染性休克具有发病急、进展快,病情重、病死率高等临床特点.早期诊断、早期治疗对于提高抢救成功率,降低病死率有重要意义.
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硅油预防肠粘连的实验研究与临床应用
目前,尚无一种能完全防止肠粘连的可靠方法.我们从1983年7月至1985年3月,用二甲基硅油(简称硅油)进行了防止腹膜粘连的实验,并应用于临床,防治粘连性肠梗阻获得了较满意的效果.
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综合治疗脑梗死患者的临床护理
脑梗死( cerebral infarction , CI )是由血液循环障碍诱发急性脑供不足诱发的疾病,占脑血管疾病的75%左右[1]。 CI具有发病率高、复发率高、预后差的特点,若未行积极干预治疗,死亡率较高。研究表明,高血液黏度和血小板高聚集率是脑梗死主要诱发因素之一,临床可通过溶栓、抗炎、降脂等综合治疗控制疾病发展。本文研究显示:治疗期间辅以护理干预,可降低疾病致残率和致死率,现报道如下。
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胃癌综合治疗的几个关键问题
在我国,胃癌的发病率与死亡率仍处于全部恶性肿瘤的前位.虽然,各单位都积累了一定的临床经验,形成了自己的特色,但是胃癌的整体疗效仍然未臻满意,除人们普遍关注的诊疗技术方面的因素外,还有一些理念与工作机制上的因素也需进一步加强,本文仅提出几个值得重视的关键性问题,与同道讨论与交流.
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肿瘤个体化综合治疗时代外科的重新定位
众所周知,个体化综合治疗(individualized comprehensive treatment)已是目前肿瘤治疗的主要模式。外科治疗虽然继续发挥着主要作用,但随着肿瘤治疗模式的不断改变,外科治疗地位在整体综合治疗体系中也发生着变化。如何更好地发挥外科治疗在个体化综合治疗中的作用,是每一位肿瘤外科医师需要思考的问题。