west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "林敏" 15 results
  • 封闭式负压引流技术治疗复杂性骶尾部褥疮疗效观察

    目的 总结封闭式负压引流(vacuum sealing drainage,VSD)技术治疗复杂性骶尾部褥疮的疗效。 方法2009年10月-2011年6月,收治6例复杂性骶尾部褥疮患者。男5 例,女1例;年龄33~72岁,平均47岁。褥疮根据美国褥疮指导小组(NPUAP)分期标准均为Ⅳ期。既往有2~24次褥疮修复史。前次复发后至此次入院时间为1~8个月,平均4.5个月。褥疮范围12 cm × 10 cm~17 cm × 13 cm。患者经2~3次VSD治疗(5~7周)后,直接拉拢缝合关闭创面,继续VSD治疗7~9 d。 结果5例骶尾部创面愈合良好;1例骶部遗留表皮缺损,经换药1周后愈合。患者均获随访,随访时间6~18个月,平均13个月。骶尾部皮肤生长良好,褥疮未复发。 结论VSD治疗复杂性骶尾部褥疮具有操作简便、创伤小等优点。

    Release date:2016-08-31 04:21 Export PDF Favorites Scan
  • Analysis of Surgical Treatment of Splenomegaly Caused by Schstomiasis at Late-stage

    目的:探讨晚期血吸虫病巨脾型外科治疗和治疗效果。方法:对31例外科治疗的晚期血吸虫巨脾型患者临床资料进行回顾性总结。结果:接受脾切除和贲门周围血管离断术后,31例患者的劳动力有不同程度恢复,脾亢症状消失,上消化道出血减少。结论:脾切除加贲门周围血管离断术对晚期血吸虫病巨脾型患者的劳动力恢复,脾亢症状消除或改善,上消化道出血减少有显著治疗效果。

    Release date:2016-08-26 03:57 Export PDF Favorites Scan
  • 电视胸腔镜同期一次切除双侧巨大肺大泡一例

    Release date:2016-08-30 06:35 Export PDF Favorites Scan
  • 基于电子病历管理的ICU医护共同查房模式对临时医嘱执行效率的影响

    目的 探讨基于电子病历(EMR)系统的重症医学科胸外ICU医护共同查房模式对临时医嘱执行效率的影响。 方法 随机选取2010年4月-2011年11月入住ICU且实行EMR管理的200例患者及30名管床护士、10名一线医生为调查对象,回顾比较基于EMR模式下医护分离查房和医护共同查房两种方式对临时医嘱执行的效果及满意度。 结果 采取医护共同查房模式后,患者及管床护士对临时医嘱执行的满意度提高(P<0.05),临时医嘱平均执行时间较以前增快(P<0.000 01),护理差错率减少(P=0.04)。 结论 医护共同查房模式可行,对ICU临时医嘱的执行效率有良好的促进作用,值得推广。

    Release date:2016-09-07 02:37 Export PDF Favorites Scan
  • 瓣膜置换加双极射频消融术后心房颤动复发患者电复律的护理

    目的 总结经胸体外直流电复律治疗心脏瓣膜置换加双极射频消融术后复发心房颤动患者的临床护理经验。 方法 回顾性分析2009年7月-2011年1月行心脏瓣膜置换加双极射频消融术,出院后复发心房颤动的26例患者其体外直流电复律治疗的护理措施。 结果 通过严密监测和有效护理26例患者均安全出院,其中24例复律成功转为窦性心律,2例复律失败。 结论 做好电复律前的护理准备工作,严密观察电复律对心房颤动患者的治疗效果并实施有效的护理措施,既能促使电复律达到满意的效果又能保障患者安全。

    Release date:2016-09-08 09:13 Export PDF Favorites Scan
  • 机械通气患者鼻饲返流误吸的护理干预

    目的:减少机械通气患者鼻饲时的误吸,为患者更好的提供营养支持,促进患者早日康复。方法:通过改进胃管长度、抬高床头、匀速泵入营养液、增加胃动力药物、掌握好吸痰时机等方法。结果:80 例患者中15 例发生返流,经改进方法后,患者愈后好。结论:通过上述方法对机械通气患者鼻饲返流误吸的发生可有效的防止。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • 创伤性降主动脉肺动脉瘘并脊髓休克的围术期护理

    摘要:通过对1例创伤性降主动脉肺动脉瘘并脊髓休克的围术期护理,使患者顺利出院。术前严密的病情观察、活动与饮食指导、积极的术前准备以及术后的严密监护、肢体血供的观察与护理、体位管理与压疮护理、穿刺部位的观察及护理、尿路感染及心理护理等是护理的关键。

    Release date:2016-09-08 10:02 Export PDF Favorites Scan
  • 应用中心静脉导管对心脏体外循环术后胸腔积液患者的引流护理

    目的探讨中心静脉导管应用于心脏体外循环术后胸腔积液患者的引流效果及护理要点。 方法对2013年3月-12月行心脏体外循环术后胸腔中量积液的179例患者,在B型超声引导下置入中心静脉导管且成功引流的方法及护理要点进行回顾分析。 结果本组患者均一次性置管成功,置管操作时间(7.2±3.5)min,导管留置时间2~6 d。置管引流中,发生肋间血管损伤出血2例,胸膜刺激征2例,导管阻塞1例,经及时的对症处置,相关并发症得以控制。 结论应用中心静脉导管治疗心脏体外循环术后胸腔积液其效果满意,切实有效的护理措施是保持引流通畅、防止并发症发生的关键。

    Release date: Export PDF Favorites Scan
  • Exploration and Reflection on the Practice of Standardized Resident Training

    Standardized resident training is one of the important contents of reform of the medical and health system. Meanwhile, it is the key part of education for medical graduates, and serves as a bridge for the cultivation of high-level medical talents. This article analyzes the necessity of standardized resident training, current situation and the difficulties faced, puts forward feasible suggestions based on previous practices, and envisions the future of training work.

    Release date: Export PDF Favorites Scan
  • Analysis of Standardized Training System of General Practitioners

    ObjectiveTo explore the implementation of standardized training of general practitioners system in China. MethodsA total of 25 bases of training general practitioners and its collaborative community service centers, which were located in the east and western region of China, met the inclusion criteria; qualitative interviews and questionnaires were done between November 2012 and November 2013, including 456 teachers, 281 students, and 166 teaching management staff. Survey content involved implementation of standardized training system, teaching method and so on. ResultsSatisfaction rate of training general practitioners training system with teachers, students, and administrators was 76.2%, 71.3%, and 86.3%, respectively (χ2=92.372, P<0.001). The average satisfaction rate of training model, teaching programme, teaching materials, teaching arrangements, the examination system, the quality of training, and supporting policies was 95.7%, 92.1%, 73.8%, 65.7%, 72.5%, 86.8%, and 48.9%, respectively (χ2=813.196, P<0.001). Satisfaction rate of teaching method with teachers, students, and administrators was 81.1%, 74.4%, and 67.7%, respectively (χ2=40.159, P<0.001). ConclusionSatisfaction rates of training general practitioners training system and teaching method with teachers, students, and administrators are low. The main impact factors are:the syllabus and textbooks are not practical, qualified teachers are short, teaching arrangements is unreasonable, teaching content is specialization, government support is inadequate and so on.

    Release date: Export PDF Favorites Scan
2 pages Previous 1 2 Next

Format

Content