目的:探讨慢性阻塞性肺病(慢阻肺)合并呼吸衰竭的临床护理及其预后之间的关系,为临床提供慢阻肺合并呼吸衰竭患者的护理经验及病例资料。方法:对2008年3月至2009年5月间在我院住院治疗的60例确诊为慢阻肺合并呼吸衰竭的患者,均采用贯序通气治疗,营养支持治疗,以及常规氧疗,根据护理期间营养支持治疗中是否接受静脉点滴脂肪乳而划分为两组，各30例。结果:接受完全肠道外营养患者的治疗时间较未接受者短，治愈率优于未接受者（927%比50%），没有死亡者（0比10%）。结论:有效的护理方法,尤其是恰当的营养支持治疗,对慢肺阻合并呼吸衰竭患者具有极其重要的意义。
摘要:目的:探讨良性前列腺增生经尿道前列腺电切术围手术期的护理经验。方法:回顾性分析96例良性前列腺增生患者临床资料。结果:96例患者手术顺利,围手术期经周密的护理,疗效满意,无明显并发症。结论:周密的手术期护理对经尿道前列腺电切术治疗老年良性前列腺增生十分重要。Abstract: Objective: To investigate the perioperative nursing care of transurethral prostatic resection (TURP). Methods: The data of 96 TURP cases were analyzed retrospectively. Results: All the operations were performed successfully, and there were no obvious complications among the patients with precise nursing care. Conclusion: It is very important for precise nursing care to the patients who underwent TURP.
摘要:目的： 探讨肝癌患者行射频消融术围手术期的肝功能变化情况,以及相应的护理措施。方法:对2006～2009年6月在我院接受射频消融术治疗的91例肝癌患者,监测其围手术期的肝功能指标,如丙氨酸氨基转移酶及总胆红素等变化情况,分析射频消融术对肝功能的影响,总结相应的护理措施。 结果:全组无死亡病例。射频消融术后早期丙氨酸氨基转移酶及总胆红素与术前有显著差异（P＜005）。结论: 肝癌患者行射频消融术后早期肝功能减退,应加强护理措施,促进患者恢复。 Abstract: Objective: To explore the influence of radiofrequency ablation (RFA) on hepatic function of patients suffering hepatocelluler carcinoma and to summarize corresponding nursing measures.Methods: Ninetyone patients suffering hepatocelluler carcinoma received RFA were studied with their hepatic function preoperation and postoperation. Alanine aminotransferase (ALT) and total bilirubin (TB) were selected as the liver functional parameters,and perioperative changes of the two parameters were measured. Influence of RFA on hepatic function was analyzed and corresponding nursing measures were summarized. Results: Significant changes of ALT and TB were observed early after RFA,and there were statistical difference between preoperation and postoperation (P＜005). Conclusion: Proper nursing measures should be applied to improve hypohepatia and promote recovery of patients.
目的:观察外伤性肾损伤出血行肾动脉栓塞术及护理效果。方法:本组26例，其中12例有失血性休克。均采用Seldinger技术，经股动脉穿刺选择性肾动脉造影，超选择性插管后注入栓塞剂。术前重点监测生命体征，及时补液、止血、输血防治休克。术中顺应医师的操作，观察生命体征、小便量、色的变化。术后:重点预防穿刺点出血，观察下肢血液循环，处理疼痛，发热等并发症。结果:26例患者临床症状很快缓解，血压均在12h内恢复正常，血尿在1～2天消失，有效率达100%。结论:外伤性肾损伤出血，采用肾动脉栓塞术即可立刻止血，又可为患者保全功能正常的肾脏。