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标准化患者在护理教学查房中的应用

【摘要】 目的 提高临床护士采集病史,护理查体和临床病历分析能力。方法 选择典型病历,要求护士阅读病历并了解病史；选择培养护士模拟标准化患者。结果 通过培养训练提高护士学习的积极性,培养护士患者至上的意识。结论 将标准化患者应用于护理教学查房中,锻炼了护士“护患”沟通能力,拓宽了教学资源,解决了病源问题。

糖尿病合并肺结核的CT表现特点

Bronchial Foreign Body in Adults: Three Cases Report and Literatures Review

ObjectiveTo highlight the characteristics of bronchial foreign body in Adults. MethodsThe clinical data of three patients with bronchial foreign body were analyzed and related literatures were reviewed. ResultsForeign bodies in three patients were all located in right bronchi. Their initial diagnoses were tumor, pneumonia and foreign body, respectively. They all didn't offer a definite history of foreign body aspiration. Foreign bodies in three patients were diagnosed and treated by bronchoscopy. Through reviewing 978 related literatures, we found 2920 cases of bronchial foreign body in adults. 75.00% of them didn't offer a history of foreign body aspiration. 80.13% of them were misdiagnosed as other diseases before bronchoscopy, such as pneumonia(31.23%), lung cancer(25.21%), tuberculosis(5.81%), bronchiectasis(6.58%) and asthma(12.47%). Some of them were misdiagnosed for over 30 years. ConclusionsBronchial foreign bodies in adults are easily misdiagnosed. Bronchoscopy plays an important role in diagnosis and treatment of bronchial foreign body.