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1.
司志梅 《河北北方学院学报(医学版)》2000,(2)
坏死性筋膜炎是由兼性厌氧菌和需氧菌所引起的严重混合感染,其主要病变是皮肤及皮下脂肪、筋膜组织发生广泛性坏死,扩展迅速。本病少见,死亡率高达60％～80％。我科收治一例坏死性筋膜炎患儿,经及时确诊,抢救,精心治疗和耐心护理而转危为安,现将我们的临床护理介绍如下:1 病例介绍 患儿男,17/15岁,因腰、背、臀部皮肤紫色硬肿1天伴精神萎靡,于1997-12-3日急诊 相似文献
2.
林爱茹 《河北北方学院学报(医学版)》1990,(4)
各种类型的先天性肛门直肠畸形均需手术治疗,根据畸形的不同类型以及患儿情况,主动做好术前准备,床位的安置,设保温箱注意患儿保暖,取平卧位,根据不同的手术时间和手术方法安排好各项护理,如单纯肛门直肠闭合患儿必须立即手术,入院后禁食,必要时进行胃肠减压,静脉输液,备皮准备手术等,是护理工作的重要方面。下面着重谈谈术后护理。 相似文献
3.
目的：介绍弹性钛制髓内钉治疗儿童股骨干骨折的护理方法。方法：通过对43例弹性钛制髓内钉治疗儿童股骨干骨折的护理。结果：43例皆获骨性愈合,优良率为100％。结论：该方法是一种损伤小、对骨折处生理影响小、住院时间短、易于护理、并发症少的手术,同时做好手术前后护理、术后康复训练是患儿全面恢复的重要保证。 相似文献
4.
目的:在小儿围手术期护理中应用ISO流程,提高护理管理质量.方法:对我院2005年后手术治疗的987例患儿围手术期的护理采用ISO流程管理,与2005年前进行护理质量对比.结果:护理缺陷率降低,手术和麻醉医师满意度上升.结论:ISO流程应用于小儿围手术期护理可以显著提高护理质量. 相似文献
5.
6.
郭静 《赤峰学院学报(自然科学版)》2013,(14):153-154
目的:本研究通过对我院2000年3月-2012年10月住院的92例外伤性白内障患儿术前术后护理进行分析,探讨护理工作对儿童外伤性白内障术后恢复和患儿及家长护理满意度的影响.结果:92名患儿没有一例晶体脱位、伤口裂开、感染等现象发生,患儿及家长对护理工作满意度较高.结论:在常规护理的基础上给予患儿及其家长心理护理,对患儿手术切口愈合以及患儿及家长应激心理状态的缓解具有重要意义,有效促进了患儿术后恢复. 相似文献
7.
张玉芬 《河北北方学院学报(医学版)》1986,(3)
特发性肺含铁血黄素沉着症(以下简称lPH),是一种少见病。二十多年来我国已有一百余例报导,并且近年来有逐年增多的趋势。本病不典型病例易误诊。现将我院1982～1986年4月收治的6例误诊情况作一分析。 相似文献
8.
赵东玉 《河北北方学院学报(医学版)》1997,(6)
小儿正处于生长发育阶段,患病住院.手术都会带来不同程度的身心影响。因此,护士要根据患儿不同的心理反应进行护理,才能取得良好的医疗效果,使患儿早日康复。1 手术患儿的心理特点1.1 恐惧心理:由于环境的改变、产生对医护人员,对手术,对疼痛的惧怕,表现为紧张不安、害怕焦躁,甚至哭闹,不服从治疗。 相似文献
9.
韩维红 《河北北方学院学报(医学版)》1998,(4)
小儿烧伤临床上很常见,但合并破伤风的患者较少见,伤后出现失语、视力消失的更少见。我科收治了一例特重度烧伤合并破伤风的患儿,因为破伤风患者怕刺激、怕见光线,而烧伤患者必须按时喷烧伤Ⅱ号药,创面给予灯烤,两者产生了矛盾。所以,我们采用了创面涂磺胺嘧啶银、无光红外线灯烤的治疗方法,现将其护理体会总结如下: 相似文献
10.
婴幼儿时期可以发生胆囊炎胆石症,但是较少见。近日,我院收治2例,因其症状和体征不典型,故需进行必要的辅助检查,B超应列为首选检查法。确诊后常需手术治疗。胆囊切除安全,效果满意,现报告如下。例1,女性,2岁。主因全身发黄2个月入院。患儿于2个月前时有哭闹不安,发烧,而后出现眼球及皮肤黄染,皮肤瘙痒。大便发白,尿呈茶色,食欲差,偶有恶心, 相似文献
11.
J G Jones H L Butler B Hamilton J D Perdue H P Stern R C Woody 《Child abuse & neglect》1986,10(1):33-40
Munchausen syndrome by proxy is a form of child abuse in which a disorder of the child is fabricated by a parent. Although often considered rare, it may have been overlooked frequently in the past. The reported cases of children with Munchausen syndrome by proxy range in age from infancy to 8 years. Their "illnesses" consist of fabricated histories, inflicted physical findings, altered laboratory specimens, and induced disorders. The perpetrator usually is the child's mother, who may have Munchausen syndrome. Consequences of the syndrome may include painful tests, frequent hospitalizations, potentially harmful treatment, and death. The diagnosis can be made when medical and social histories are characteristic of the syndrome and clinical findings are absent, suggestive of induced illness, or resolve upon separation of the child and parent. Suspicion of the syndrome should be discussed with the family once the safety of the child is insured, and the case should be reported under the child abuse reporting law of the state. Social, family, and medical histories must be obtained and verified, and court intervention should be considered. Four patients who illustrate typical features of the syndrome are described. 相似文献
12.
冠心病是严重危害人类健康的主要疾病,经皮冠状动脉介入法已经在国内广泛应用于临床治疗冠状动脉粥样硬化,成为目前治疗冠心病的主要方法之一。经桡动脉介入治疗应运而生,因其损伤小、局部并发症少,手术前后对抗凝、抗血小板药物限制小,术后立即拔管,患者即可随意下地活动而越来越受到患者和介入医生的欢迎。虽然大多数文献报道经桡动脉介入治疗的并发症明显低于经股动脉介入治疗。但由于桡动脉途径自身的生理特点及局限性,并发症也并不少见,如处理不当,有时会导致严重的后果,因此,在经桡动脉行冠状动脉介入手术时应注意观察及护理。 相似文献
13.
吴平 《泰州职业技术学院学报》2014,(2):69-70,73
目的总结2011年6月至2012年3月我科收治的48例中西医结合治疗先兆流产患者的有效护理对策,以提高临床治愈效果。方法主要包括从情志护理、病情护理、饮食护理、用药护理、健康教育指导等方面有针对性地制定护理对策,观察患者的效果进行总结分析。结果总有效率迭92．5％。结论采用中西医结合治疗、护理先兆流产是提高临床保胎成功率的有效方法。 相似文献
14.
目的:探讨中药组方综合治疗化脓性阑尾炎术后腹腔残余脓肿的临床治疗护理效果.方法:将62例化脓性阑尾炎术后腹腔残余脓肿术后患者随机分成两组,实验组采用西药辅以中药组方综合治疗方案,对照组采用西医保守治疗方案,分别观察两组的治疗护理效果.结果:实验组总有效率为100%,其中治愈率为95.0%,显效率为4.0%,有效率为1.0%.对照组总有效率为90.0%,其中治愈率为52.0%,显效率为10.0%,有效率为28.0%,无效率为10.0%,两组比较差异显著(P0.01).结论:中药组方综合治疗化脓性阑尾炎术后腹腔残余脓肿疗效显著,不良反应与并发症少,治疗效果好于单纯用西药治疗,提示精心的观察及护理是提高治疗效果的重要保证. 相似文献
15.
《儿科护理学》是护理专业的一门核心课程,有着很强的理论性和实践性,涵盖儿童保健、疾病防治护理、保健指导及康复护理等教学内容,教学内容知识点繁多。随着生活质量的日益提高及二胎政策的开放,儿科护理工作也越来越繁重,由此,为输送更多优秀的儿科护理人才,儿科护理学课程的教学更尤为重要。目前各专业院校为提高儿科护理学的教学质量,在儿科护理学课程的教学方法上做了改革尝试,文章总结了2014年至2018年运用于儿科护理学课程的教学方法,提供更多的教学经验。 相似文献
16.
赵孟君 《河北北方学院学报(医学版)》2003,20(1):5-7
的 :总结急性坏死性胰腺炎并发多器官功能不全的临床特点 ,并探讨相关护理问题。方法 :回顾分析 7例急性坏死性胰腺炎并发多器官功能不全综合症的治疗护理情况。结果 :全组 7例病人死亡 2例 ,其余 5例均治愈出院。结论 :本病治疗困难 ,死亡率高。必须严格掌握病情进展程度 ,抓紧早期防治可望提高抢救成功率及治愈率。 相似文献
17.
Primary mammary tuberculosis is a rare entity that usually occurs in female of reproductive age. Herein three such patients including two males with ages over 80 years, who underwent surgical resection, are reported. Fine needle biopsy failed to achieve specific diagnosis before surgical operation. All of their conditions got satisfactory improvement and anti-tuberculosis chemotherapy was administered postoperatively. Previous literature related to the epidemiology, diagnosis and treatment for mammary tuberculosis will be also reviewed. Mammary tuberculosis is usually related to breast feeding women and is extremely rare in aged man. The possible mechanisms resulting in this disease in our three patients, including direct extension, reactivation, or transmitted by staffs or peers of the nursing home, would also be discussed. 相似文献
18.
Albert J. Cotugno 《Psychology in the schools》1980,17(2):222-240
An overview of anorexia nervosa and a brief review of the most relevant literature is presented. The unique treatment needs of the anorexic child are discussed in terms of their overall influence, and particularly in view of typical cognitive and educational demands on the child. The psychoeducational approach is elaborated and applied to this understanding of the anorexic child. Issues that arise in dealing with the anorexic child in the classroom are discussed, and specific interventions and techniques are described. Primary goals for this treatment technique are elaborated, and case material demonstrating how these issues would be managed in the psychoeducational setting is presented. 相似文献
19.
Assessment and decision-making in child maltreatment cases is difficult. Practitioners face many uncertainties and obstacles during their assessment and decision-making process. Research exhibits shortcomings in this decision-making process. The purpose of this literature review is to identify and discuss methods to overcome these shortcomings. We conducted a systematic review of the published literature on decision-making using PsychINFO and MEDLINE from 2000 through May 2014. We included reviews and quantitative research studies that investigated methods aimed at improving professional decision-making on child abuse and neglect in child welfare and child protection. Although many researchers have published articles on decision-making including ideas and theories to improve professional decision-making, empirical research on these improvements is scarce. Available studies have shown promising results. Structured decision-making has created a greater child-centred and holistic approach that takes the child's family and environment into account, which has made practitioners work more systematically and improved the analysis of complex situations. However, this approach has not improved inter-rater agreement on decisions made. Shared decision-making may improve the participation of parents and children and the quality of decisions by taking client treatment preferences into account in addition to scientific evidence and clinical experience. A number of interesting developments appear in recent research literature; however, child welfare and child protection must find additional inspiration from other areas, e.g., mental health services, because research on decision-making processes in child welfare and child protection is still rare. 相似文献
20.
曾智勇 《襄樊职业技术学院学报》2011,10(5):31-33
目的探讨腹部卒中所致急腹症诊治失误原因及预防措施。方法对1990年6月至2010年6月收治的少见原因的腹部卒中所致急腹症3例（4次）患者的临床资料进行回顾性分析。结果3例少见原因的腹部卒中所致急腹症均误诊;3例中手术治疗3次,再手术1次,保守非手术治疗1例,死亡2例。结论遵循外科诊治基本原则,掌握疾病诊治基本功,避免思维定势,可以避免或减少误诊误治;血管专科的经验和技术有助于该病治疗。 相似文献