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因消化道出血而确诊的老年慢性粒细胞白血病1例
Case presentation A male patient, 86 years old, was admitted to our department on Dec 13, 2008 because of melena, fatigue and loss of appetite for 3 days. Present history. Three days ago, the patient's food intake decreased significantly with no obvious incentives, and his complaints were left upper abdominal discomfort and sour regurgitation after meal, with a little melena once on that day, but without fever, bone pain, nausea and vomiting, hemoptysis, mucosanguineous feces, and tenesmus, so he did not care.
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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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鼻内镜手术出血量的检测方法
根据人血液单位容量中血红蛋白量在一定时期内基本恒定的原理,设计出使用血液分析仪测定血红蛋白浓度的方法,以此计算鼻内镜手术出血量.
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庆大霉素中毒性耳聋
庆大霉素目前仍是主要的致聋抗生素,庆大霉素中毒性耳聋的发病机制包括自由基损伤学说、内耳微循环障碍学说、毛细胞线粒体功能失常学说、细胞凋亡等,并发现一些与耳聋相关的基因.聚DL-天冬氨酸(PAA)、表皮生长因子(EGF)表皮生长因子(EGF)、碱性成纤维细胞生长因子(bFGF)、神经营养因子3(NT3)、高压氧等对庆大霉素的耳毒性有一定的拮抗作用.中医药丹参、天鼓冲剂、复聪片、耳聋左慈丸等也可减轻庆大霉素的耳毒性.庆大霉素中毒性耳聋基因治疗具有良好的前景.制造一种由病毒DNA序列和非病毒载体结构共同组成的复合型载体,也许是未来基因治疗载体得到完善、基因治疗得到突破性进展的着手点之一.
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护理人员流失原因分析与对策
由护理人员流失引发的一系列问题已成为影响护理专业发展及护理质量的重要因素之一,必须引起护理管理者的重视.护理人力资源的数量是保证护理工作质量的基本条件[1],然而由于多种原因造成了护理人员大量流失,同时也带来了许多负面影响,如增加了在职人员的工作负担,进一步造成了更多人员的离职意念,护理质量与服务质量受到严重影响,造成教育经费及卫生资源的极大浪费等.因此,采取有效对策减少护理人员的流失,以保证护理队伍的稳定性,是医院管理者需重视的问题.现将有关护理人员流失的原因及对策阐述如下.
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肾综合征出血热并发非失血性贫血的护理
肾综合征出血热(HFRs)可引起人体多系统、多脏器功能的损害,其中发生贫血并不少见.我院1992年1月1日~2004年1月1日经症状体征和实验室检查诊断为肾综合征出血热1396例,皆符合HFRs的诊断标准,其中发生贫血216例,除外周出血所致的贫血52例,发生非失血性贫血164例(所有患者均无消化道、泌尿系、生殖系、腹膜腔、眼、耳、鼻、口、脑及皮肤黏膜等出血),现将护理报告如下.
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先天性外胚叶发育不良致牙缺失二例
1 临床资料患者,男,汉族,18岁.以全口大部分牙缺失,要求镶牙就诊.其母亲述患儿出生后至2岁无牙萌出,2岁后萌出数牙至今未换.患者自述在炎热夏季,发热、气急、体温较高,无汗、多尿.其兄妹三人,其弟与之症状相同,其妹正常,三人智力发育均正常,学习成绩中等.仔细询问否认家族遗传病史.既往兄弟二人皆患肾炎,均已治愈.
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年龄对住院冠心病病人健康功能损失程度的影响
冠心病是目前发病率和病死率均很高的疾病之一[1],严重影响了病人的健康功能和生活质量.随着年龄的增加,冠心病的发病率也在逐步增高,老龄化作为冠心病的独立危险因素存在已成公认的事实[2].目前,年龄对冠心病病人健康影响程度的具体量化研究较少.本研究旨在量化分析年龄差异对住院冠心病病人健康功能损失程度的影响,从而为临床个体化护理干预提供科学依据.
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综合护理干预对社区学龄期单纯性肥胖儿童减肥效果的影响
儿童单纯性肥胖是儿童时期常见的一种营养代谢障碍性疾病.随着生活水平的提高,儿童单纯性肥胖近几年来有逐年上升的趋势.山东省10年间,城市男生的肥胖率由5.28%上升到14.48%,女生由3.22%上升到6.81%.儿童单纯性肥胖已成为21世纪严重健康问题和社会问题,积极开展对单纯性肥胖儿童的干预迫在眉睫.儿童肥胖需要采用以运动处方为基础,以行为矫正为关键技术,健康教育贯彻始终的综合方案.
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干细胞在急性肾损伤中的治疗作用及进展
急性肾损伤(acute kidney injury,AKI)是临床常见的危重症之一,具有高发生率和高病死率的特征.2002年,急性透析质量指导组(acute dialysis quality initiative group,ADQI)制定了AKI的RIFLE分级诊断标准,将AKI分为3个严重程度级别:危险(risk)、损伤(injury)、衰竭(failure)和2个预后级别:肾衰竭丧失(loss)、终末期肾病(end stage renal disease,ESRD).
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Radioactive and Stable Iodine——Risks and Rewards International Council for the Control of Iodine Deficiency Disorders Statement for Publication March19,2011
On March 11th Japan experienced a devastating earthquake followed by a tsunami resulting in catastrophic damsge and loss of life.This natural disaster in turn caused a Inanmade disaster by severely damaging four nuclear reactors with the ongoing release of radioactivity.Of particular concern is iodine(I)-131,the unstable,radioactive isotope of iodine.Normally,stable iodine is an essential element for the thyroid gland to produce thyroid hormone that is required for the optimal development of the human brain.As a result,brain damage from iodine deficiency in the fetus and developing child is the leading cause of preventable mental retardation.
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术后急性肾损伤的早期牛物学标志物研究进展
目前,急性肾损伤(AKI)的诊断主要依据血肌醉、血尿素氮、肾小球滤过率(GFR)和尿量的变化.2002年急性透析质量专家组(ADQI)制定了AKI的RIFLE(the risk, injury, failure, loss,end-stage renal disease,即危险、损伤、衰竭、丧失、终末期肾病)分层诊断标准.
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尺骨鹰咀牵引治疗小儿肱骨髁上骨折
肱骨髁上骨折为儿童常见的骨折,有72.4%发生于10岁以下的小儿.对无移位或移位很少者,常采用闭合复位,石膏或小夹板固定.