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延髓肿瘤患者术后呼吸道护理

目的　讨论延髓肿瘤患者术后呼吸道护理方法。 方法　对2009年10月－2011年3月86例延髓肿瘤患者术后呼吸道护理措施进行回顾性分析。 结果　治愈78例，5例好转，3例因呼吸衰竭死亡。术后插管治疗中，9例发生肺部感染，但无1例发生误吸。 结论　术后加强呼吸功能的观察与护理，防止窒息，保持呼吸道通畅对患者的预后起着至关重要的作用。

静脉滴入注射用血凝酶过敏一例

内镜下经鼻蝶入路切除垂体瘤的护理

【摘要】　目的　探讨内镜下经鼻蝶入路切除垂体瘤的护理方法。　方法　对2008年2月-2009年2月收治的38例行内镜下经鼻蝶入路切除垂体瘤患者的临床护理进行回顾性分析。　结果　术后38例患者无一死亡，2例并发脑脊液鼻漏，10例出现暂时性尿崩，1例并发脑性耗盐综合征。随访3～16个月，原垂体瘤症状均消失，并发症痊愈。　结论　加强内镜下经鼻蝶入路切除垂体瘤患者的护理，是患者手术顺利进行、术后早日康复的关键。

Perioperative Nursing of Spinal Cord Arteriovenous Malformation

摘要:目的: 探讨脊髓动静脉畸形患者科学的围手术期护理方法。 方法 :对31例脊髓动静脉畸形围术期患者进行了科学的护理,即心理,术前、术后以及特殊症状护理,并分析护理效果。 结果 :31例患者中治愈27例,好转4例。 结论 :脊髓动静脉畸形手术难度大,危险性高,科学的围手术期护理是促进治疗效果的重要保证。Abstract: Objective: To discuss the effectiveness of scientific perioperative nursing for the patients with spinal arteriovenous malformations. Methods : 31 patients with spinal arteriovenous malformations had got nursing, such as psychology nursing and special perioperative symptoms. The nursing effective is analysed. Results : 27 cases are cured and the other 4 cases improved. Conclusion : Spinal arteriovenous malformations is difficult and dangerous for operation.The scientific perioperative nursing is important guarantee for advancing the cure effective.

Clinical Efficacy of Zoledronic Acid on Postmenopausal Osteoporosis

ObjectiveTo observe the treatment effects of zoledronic acid on postmenopausal osteoporosis. MethodsSeventy-two postmenopausal osteoporosis patients from July 2007 to December 2010 were randomly divided into observation group and control group, with 36 patients in each. Traditional drug treatment was used in the control group, while traditional drug treatment and zoledronic acid were used for patients in the observation group. The Indicator of bone mineral density (BMD) and ostocalcin were used to comapre the treatment effects between the two groups after one-year treatment. ResultsThere was a significant difference in BMD and osteocalcin in both the observation group and the control group before and after treatment (P<0.05). The treatment effect is superior in the observation group (P<0.05). ConclusionZoledronic acid is an effective treatment for postmenopausal osteoporosis; it can increase BMD and osteocalcin more effectively.

经鼻蝶鞍区病变切除术后鞍底重建及围手术期处理

目的 总结经鼻蝶鞍区病变切除术后鞍底重建及围手术期处理的相关经验。 方法 回顾性分析2007 年10 月－ 2008 年12 月收治的132 例经单鼻孔蝶窦入路行鞍区病变切除术患者鞍底重建及围手术期处理方法。男64 例，女68 例；年龄19 ～ 74 岁，平均45.7 岁。病因：垂体无功能腺瘤91 例，生长激素腺瘤22 例，泌乳素腺瘤9 例，促肾上腺素皮质激素腺瘤2 例，促甲状腺素释放激素腺瘤1 例，Rathke 囊肿5 例，鞍内型颅咽管瘤2 例。术中采用由人工硬膜、颅骨和蝶窦黏膜组成的夹心层法重建鞍底。 结果 术后4 例发生少量脑脊液漏，给予腰大池持续引流1 周后治愈。术后再出血2 例，经药物治疗消退；术后高热、感染3 例，经抗生素治疗后2 例好转，1 例配合腰穿持续引流后治愈。患者均获随访，随访时间28 ～ 42 个月，平均35.2 个月。患者术前症状及体征术后不同程度好转。 结论 以人工硬膜加自体骨片等材料为主体的鞍底重建技术具有解剖还原、操作简便、稳固可靠、创伤小、无排斥等特点，辅以周全的围手术期护理，能够取得良好的重建效果。