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1.
我院血液科病房 2 0 0 1 .1～ 2 0 0 3.1月 ,给 30 0例患者行静脉留置套管针 ,现进行回顾性分析 ,将其优点、发现问题及采取处理对策一并与同行们探讨如下。1 临床资料1 .1 留针的 30 0例患者中 ,男 1 92例 ,女 1 0 8例。年龄 8～72岁 ,平均年龄 42岁 ;急性白血病 1 66例 ,多发性骨髓瘤 1 2例 ,再生障碍性贫血 56例 ,原发性血小板减少性紫癜 54例 ,其他 1 2例。留针天数 ,最短的 3d,最长者 1 1d,平均天数为 7d。1 .2 方法 选择静脉 ,碘酒消毒皮肤直径达 8cm ,待干 1min,输液器常规排气 ,用输液器或输血器针头从套管针肝素帽处进针 ,(我… 相似文献
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克拉霉素为新的大环内酯类抗生素 ,2 0 0 1 .4～2 0 0 2 .6月我们采用克拉霉素治疗呼吸道感染患者 60例 ,对其疗效进行评价 ,将结果报告如下。1 临床资料病例主要为门诊病人 ,可随访者 ,少数为住院患者 ,60例病人中 ,其中男性 32例 ,女性 2 8例 ;平均年龄 42 .3岁 ;60例中 ,包括急性化脓性扁桃体炎或急性细菌性咽炎 2 8例 ,急性支气管炎 1 1例 ,慢性支气管炎急性发作 1 0例 ,支气管哮喘并感染 9例 ,慢性中耳炎急性发作 2例。患者就诊前均未使用抗生素 ,既往无大环内酯类抗生素过敏史。无呼吸衰竭及心肝肾严重并发症。病人采用克拉霉素 0 .2… 相似文献
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我们选择我院两年间收治的冠心病心绞育患者 ,应用地奥心血康联合硝酸异山梨酯与单用硝酸异山梨酯治疗冠心病心绞痛进行疗效观察对比 ,现总结如下 .1 资料与方法(1)临床资料 . 86例患者均符合 WHO冠心病心绞痛的诊断标准 .随机分为对照组和观察组 .对照组 38例 ,其中男 2 3例 ,女 15例 .年龄 46～ 78岁 ,平均 5 5± 8岁 .心功能一级 19例 ,二级 13例 ,三级 5例 ,四级 1例 .劳力型心绞痛 19例 ,自发型心绞痛 11例 ,混合型心绞痛 8例 .观察组 48例 ,其中男2 9例 ,女 19例 .年龄 46～ 79岁 ,平均 5 6± 7岁 .心功能一级2 4例 ,二级 16例 ,三… 相似文献
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术后早期炎性肠梗阻是指术后由于腹腔炎症 ,广泛粘连而致的炎症性肠梗阻 ,较为常见 ,其发生率占各类肠梗阻 6 5 %～ 8% .病理基础多为新形成的纤维素性粘连 ,日后可部分或全部吸收 ,多采取非手术疗法 .如若不当可引起肠瘘、肠间感染等并发症 .自 1 996年～ 2 0 0 2年本院采用中西医结合治疗术后早期炎性肠梗阻 45例 ,取得良好效果 ,现报道如下 :1 临床资料1 1 一般资料 :75例均是术后早期炎性肠梗阻患者 ,随机分为治疗组和对照组 .治疗组 45例患者中 ,男性 3 0例 ,女性 1 5例 ,平均年龄 42岁 (1 8～ 70 ) .疾病原因 :急性阑尾炎穿孔伴弥… 相似文献
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结肠癌病程进展中常可并发急性肠梗阻、急性阑尾炎、肠穿孔、腹膜炎等急腹症 ,临床误诊率较高[1 ] .本文对我科 1 992～ 2 0 0 2年结肠癌并发急腹症导致误诊的 1 6例进行临床分析 .1 临床资料1 1 一般资料 本组 1 6例患者中男 1 4例 ,女 2例 ,年龄 1 9～ 77岁 ,平均 48岁 .术前误诊为急性粘连性肠梗阻 6例 ,急性阑尾炎 4例 ,阑尾周围脓肿 2例 ,上消化道穿孔并腹膜炎 4例 .其中 1 1例首次手术中确诊 ,行结肠癌切除术 8例 ,结肠癌姑息性切除结肠造口术 3例 .5例第 2次手术中确诊 (其中 3例为阑尾切除术患者 ,术后因反复右下腹痛再次住院 ,… 相似文献
6.
我院近年来接诊妊娠 35周以上合并子痫及先兆子痫的患者 8例 ,现将诊治情况总结如下。1 资料和方法8例患者年龄 2 3～ 36岁 ,妊娠 35～ 39周 ,宫内活胎。心功能Ⅱ～Ⅲ级 ,HR110～ 15 5次 /min ,RR 2 8～36次 /min ,BP16 0～ 2 4 0 / 10 8～ 12 6mmHg ,SPO2 78%～ 94 %。 8例患者均有中、重度水肿 ,3例有轻中度胸腔积液 ,1例有先心病合并肺部感染 ,1例重度贫血 ,HB75g/L ,合并低蛋白血症 ,1例急诊入室时神志不清 ,1例急诊入室时发生抽搐。8例患者中有 5例入院得到降压、止惊、利尿处理 ,并对妊娠 <36周者在给予地塞米松胎儿肺催熟治疗… 相似文献
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《莆田学院学报》2019,(5)
探讨胃癌根治术后腹腔感染对患者远期预后的影响。收集莆田学院附属医院胃肠外科2007年1月至2011年12月入组的胃癌根治患者的临床病理资料,分析胃癌根治术后腹腔感染与预后的关系。结果显示,全组342例患者中,发生腹腔感染患者26例,发生率为7. 6%;腹腔感染死亡患者1例,死亡比率为3. 8%。腹腔感染患者和无感染患者术后5年总体生存率分别为60. 2%和58. 1%(P=0. 089),差异无统计学意义。进一步根据TNM分期,Ⅰ、Ⅱ、Ⅲ期腹腔感染患者的5年总体生存率分别为92. 2%、62. 9%、45. 8%,与无感染组差异均无统计学意义(P>0. 05)。结果表明:胃癌根治术后腹腔感染的发生与术前合并症和长时间手术密切相关,但是腹腔感染并不会降低患者的长期生存率。 相似文献
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罗培荣 《河北北方学院学报(医学版)》2001,18(6):71-71
1 临床资料 自1985～2001.5月,我科门诊确诊为脑肿瘤患者8例,其中双侧视乳头水肿者4例,单侧乳头水肿3例,无视乳头水肿1例;单侧乳头水肿伴眼位偏斜2例。发病年龄不等,最小9岁,最大47岁。 相似文献
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目的:分析门诊带状疱疹患者的临床特点.方法:回顾性分析83例带状疱疹患者人口学资料,临床表现及体格检查.结果:83例患者中男40例,女43例,发病年龄13 ～87岁,平均发病年龄48.82岁;病程1天～8周,平均为14.29天;少年发病占3.61％,青年发病占26.51％;中年发病占37.35％;老年发病占32.53％.临床特征为单侧发生的红斑、水泡伴疼痛;三叉神经受累8例,占9.64％,脊神经受累75例,占90.36％,其中颈段受累10例,胸段受累32例,腰段受累24例,骶段受累9例.结论:带状疱疹的诊断主要依靠临床表现,好发于中老年人,最常累及为脊神经胸段和腰段. 相似文献
10.
目的：探讨超声监测不孕症患者卵泡演变及其临床意义.方法：采用ALKOAα6及ALKOA-3500彩色多普勒超声诊断仪,应用阴道和腹部及会阴超声联合应用的探测方法,对82例不孕症患者卵泡实施动态监测一个月经周期内卵泡的数量、大小、回声表现等变化,及时提供临床排卵信息并指导临床治疗和生殖辅助;随访3个月,了解受孕情况.结果：82例患者中,57例在月经周期的10-36d有排卵、14例无优势卵泡发育、6例卵泡成熟后未排逐渐变小、3例卵泡囊肿（其中1例黄素化）及2例仅做1次无结果.有排卵患者中8例成功受孕,其中4例合并子宫肌瘤、4例合并卵巢囊肿;不孕患者中有5例合并双侧或一侧输卵管不通,8例有盆腔炎及附件炎病史,余例为其他原因引起的不孕;无卵泡发育及卵泡发育缓慢患者中6例患者通过药物治疗后成功受孕.结论：超声监测不孕症患者卵泡演变可及时提供临床排卵信息,对临床有效治疗不孕症具有重要指导价值. 相似文献
11.
中西医结合治疗过敏性鼻炎91例疗效观察 总被引：1，自引：0，他引：1
钱芝卫 《泰州职业技术学院学报》2006,6(6):43-44
目的探讨通窍鼻炎片过敏性鼻炎的效果。方法对照组单用西药抗生素＋激素治疗。治疗组用西药抗生素＋激素治疗＋通窍鼻炎片治疗。结果对两组结果进行分析，加用通窍鼻炎片治疗的一组疗效明显优于对照组。结论通窍鼻炎片治疗是有效的。 相似文献
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13.
Zhu Huiyuan Yan Shaochun Wu Jingshuo Zhang Zhong Li Xiaolin Liu Zheng Ma Xing Zhou Lina Zhang Lin Feng Mingming Geng Yiwei Zhang Aixin Janciauskiene Sabina Xu Aiguo 《Journal of Zhejiang University. Science. B》2021,22(6):512-520
Background: Previous studies have shown that macrophage migration inhibitory factor(MIF) is involved in the pathogenesis of asthma. This study aimed to investigate whether serum MIF reflects a therapeutic response in allergic asthma.Methods: We enrolled 30 asthmatic patients with mild-to-moderate exacerbations and 20 healthy controls, analyzing the parameter levels of serum MIF, serum total immunoglobulin E(tIgE), peripheral blood eosinophil percentage(EOS%), and fractional exhaled nitric oxide(FeNO). Lung function indices were used to identify disease severity and therapeutic response.Results: Our study showed that all measured parameters in patients were at higher levels than those of controls. After one week of treatment, most parameter levels decreased significantly except for serum tIgE. Furthermore, we found that serum MIF positively correlated with EOS% as well as FeNO, but negatively correlated with lung function indices. Receiver operator characteristic(ROC) curve analysis indicated that among the parameters, serum MIF exhibited a higher capacity to evaluate therapeutic response. The area under the curve(AUC) of MIF was 0.931, with a sensitivity of 0.967 and a specificity of 0.800.Conclusions: Our results suggested that serum MIF may serve as a potential biomarker for evaluating therapeutic response in allergic asthma with mild-to-moderate exacerbations. 相似文献
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When utterances contain conflicting emotion cues, 6-year-olds judge emotion from content, even when instructed to judge emotion from paralanguage (Morton & Trehub, 2001). Two experiments examined the nature of this bias. In Experiment 1, priming paralanguage reversed 6-year-olds' normal bias to content. In Experiment 2, 6-year-olds were instructed to listen to paralanguage under various conditions. Children were more likely to follow instructions delivered with feedback than instructions delivered alone. Children who described conflicts between content and paralanguage were more likely to follow instructions than children who did not describe these conflicts. Results suggest that 6-year-olds can judge emotion from paralanguage in the presence of competing content but often remain focused on content because of the way they represent the instructions. 相似文献
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Hui-ying Wang Yi-hong Shen Xu-yan Yang Lan-fang Tang Jian-ying Zhou 《Journal of Zhejiang University. Science. B》2015,16(7):640-650
Background: The specialty of allergy developed quickly in western countries because of the rapid increase of allergic diseases, whereas it developed relatively slowly in China. The prevalence of allergen sensitization and allergic diseases in Zhejiang Province of China is high and improving the medical services for these diseases is critically needed. Objective: To investigate the working status of the diagnosis and treatment of allergic diseases, including doctor resources, diagnostic methods, and allergen-specific immunotherapy in patients of Zhejiang Province, and to provide instructions for the strategic development of subspecialties of allergic diseases. Methods: First we defined the doctors who treat allergic diseases, and designed a comprehensive questionnaire to collect personal and hospital information for these doctors. The questionnaires were distributed to hospitals with different ranks and from different areas in the province. The general condition of doctor’s resources, carryout of diagnostic methods, and allergen-specific immunotherapy were described and variations in the different specialties, hospitals, and areas were further analyzed. Results: Doctors in their thirties with bachelor’s degrees were the mainstream for diagnosing and treating allergic diseases. The main specialties of the doctor resources were the specialties of Ear, Nose and Throat (ENT), Respirology, Pediatrics, and Dermatology. The Pediatrics specialty had a more reasonable infrastructure of doctor resources with more young doctors working in this subspecialty. The development of allergy subspecialty varied within hospitals at different levels or from different areas. The carryout of the skin prick test (SPT), serum specific IgE (ssIgE), and subcutaneous immunotherapy (SCIT) was best performed in provincial hospitals, while sublingual immunotherapy (SLIT) was prescribed most commonly in municipal hospitals. The performance of SPT and ssIgE in Hangzhou, Jiaxing, and Wenzhou areas was much better than that in other places. The performance of SCIT and SLIT was best in Wenzhou. Conclusions: Our survey revealed a very initial and unbalanced development for the allergy subspecialty in Zhejiang Province. Doctor resources for allergic diseases were mainly from the specialties of ENT, Respirology, and Pediatrics, and the performance of diagnosis and treatment was mainly focused on provincial and municipal hospitals. Continuous education of allergies could be extended to primary healthcare centers and more efforts should be directed to those areas with poor medical resources. 相似文献
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目的 CT引导下经圆孔外口射频热凝治疗三叉神经痛（V2支）可行性及疗效分析。方法收集23例三叉神经痛病例,在局部麻醉下,采用GE BrigtSpeed 16层CT扫描定位,经眶下裂入路圆孔,进行射频热凝治疗三叉神经痛。结果 23例患者,经过CT下定位均能精确进行射频治疗,效果良好者22例;1例为轻微好转,仍需口服止疼药物。结论 CT眶下入路达圆孔外口穿刺路径无大血管及神经,能精确定位穿刺针位置及深度,且在局麻下即可操作,方便安全,易于快速判断疗效。 相似文献
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李维权 《河北北方学院学报(医学版)》2007,24(6):15-16
目的:探讨外伤性迟发性结肠破裂的临床特征、诊断和治疗方法,提高早期确诊率和治疗疗效。方法:对21例结肠损伤患者的临床资料进行回顾性分析。结果:全组患者均行二期手术治愈。6例患者术后切口感染,4例肠粘连。无造瘘术后肠梗阻、造瘘口狭窄及切口疝等并发症。结论:二期手术适用于严重的休克,全身状态不佳,腹内多脏器损伤和严重的感染。治疗外伤性迟发性结肠破裂重要的是准确判断结肠损伤程度和范围,了解合并损伤的脏器,术中仔细探查,彻底进行肠道和腹腔冲洗,并严格清创和消毒。 相似文献
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清末司法官制改革初步打破了中国封建社会长期以来司法行政不分的格局,初步确立了法官考试任用制度。辛亥革命后,各地军政府和南京临时政府相继制定了《临时约法》,对法官制度赋予了新的内容,确立了法官独立审判原则、严格法官考试制度,并规定了法官的保障措施等。这些规定对后世的法官制度建设,具有一定的借鉴意义。 相似文献
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Extracts of writings of great scientists and philosophers were used as handouts to supplement text and lectures on environmental science for nonscience majors requiring a laboratory course. An assessment form was developed to judge the impact of this process on students. Results of the first semester are described with plans for future implementation. A list of handouts is appended. 相似文献