Search

Leber病一家四例报告

An immunohistochemical study of Il-6,TNF-α in epiretinal membreanes.

Purpose To investigate the expression of the interleukin-6(IL-6)and tumor necrosis factor alpha(TNF-alpha;) in epiretinal membranes(ERM) of eyes with proliferative vitreoretinopathy(PVR). Methods Nineteen epiretinal membranes were obtained form eyes undergoing vitrectomy for retinal detachment complicated with PVR and observed by immunohistochemical methods. Results Expression of IL-6 and TNF-alpha; were observed in 12 and 15 membranes respectively with positive staining mostly in extracellular matrix of epiretinal membranes.Only one membrane showed positive to IL-6 intracellularly,and expression for IL-6 and TNF-alpha; simultaneously in membranes. Conclusion The findings indicate that IL-6、and TNF-alpha;might be involved in the development of PVR. (Chin J Ocul Fundus Dis,1998,14:219-221)

颅内原发性恶性黑色素瘤并蛛网膜下腔播散一例

标识管理在开颅手术多液路中的应用

目的 探讨标识管理方法在开颅手术中多液路输液中的应用效果。 方法 选取 2015 年 3 月—4 月行开颅手术且建立 3 组及以上液体管路的手术患者，采用随机数字法分为干预组和对照组。干预组术中在常规输液护理的基础上，再加上应用不同颜色的标识条对多个液体的输液管路分别进行标记；对照组术中给予常规输液护理。比较两组在给药时定位管路的正确率、正确定位管路的速度、麻醉师和护士满意度的差异。 结果 共纳入患者 100 例，干预组和对照组各 50 例。在给药时定位管路的正确率方面，干预组为 96.0%，优于对照组的 44.0%；在正确定位管路的速度方面，干预组为（3.94±1.35）s，快于对照组的（30.24±21.25）s；在医护人员的满意度方面，干预组为 83%（83/100），亦优于对照组的 18%（18/100）；两组比较差异均有统计学意义（P<0.05）。 结论 术中多液路输液时应用规范醒目的护理标识，可正确定位要给药的管路，缩短定位时间，提高工作效率，增进医护人员的满意度，确保护理安全。

气道内超声协助诊断呼吸道受累复发性多软骨炎一例及文献复习

目的提高对呼吸道受累的复发性多软骨炎(RP)的临床认识,以及气道内超声对气道壁疾病的诊断价值。 方法对1例呼吸道受累的RP患者气道内超声协助临床诊疗过程进行分析,并结合文献复习。 结果首发呼吸道症状有声嘶、咳嗽、咳痰、喘息、呼吸困难等,CT检查有气管、支气管狭窄、气管软骨变形等,支气管镜表现有不同程度的声带水肿、声门下环状软骨塌陷、声带麻痹、喉腔狭窄和主气道、左右支气管及其分支弥漫或局限狭窄、充血水肿、软骨结构消失。气道内超声显示气道壁分层模糊,软骨层破坏增厚、形状不规则。 结论呼吸道受累的RP临床容易误诊,气道内超声对气道壁疾病具有潜在的诊断价值。

支气管内活瓣置入治疗重度肺气肿一例

Effect of pain management by anesthesia nurses on labor analgesia

Objective To explore the effect of pain management by anesthesia nurses on labor analgesia. Methods A total of 100 parturient women in the Affiliated Hospital of North China University of Science and Technology between July and August 2015 were randomly divided into two groups: analgesia group and control group with 50 in each. Both two groups accepted labor analgesia routine maternity nursing. Analgesia group accepted maternal perinatal term pain management in addition to the routine nursing. Then we compared degree of pain during the production process, labor time and perineal injury between the two groups of women. Results The number of women with a labor pain degree of 0-Ⅲ in the analgesia group was respectively 36 (72%), 12 (24%), 2 (4%) and 0 (0%), and the number in the control group was respectively 23 (46%), 17 (34%), 8 (16%), and 2 (4%). The above difference between the two groups was statistically significant (Z=–2.908, P =0.004). The number of women with intact perineum, perineal injury of lateral and median cut, and Ⅰ-Ⅲ degree laceration in the analgesia group was respectively 31 (62%), 7 (14%), 8 (16%), 4 (8%) and 0 (0%); and the number in the control group was respectively 21 (42%), 12 (24%), 10 (20%), 7 (14%) and 0 (0%), also with significant difference between the two groups (Z =–2.028, P =0.043). The first and second labor stage of the analgesia group was (462.32±101.27) and (63.58±10.38) minutes, and was (568.27±113.28) and (76.92±11.24) minutes in the control group, with significant differences between the two groups (P<0.001). There was no statistically significant difference between the two groups in the third labor stage (5.78±3.02) and (5.97±2.96) minutes, (P=0.654). Conclusions The implementation of pain management by anesthesia nurses on labor analgesia can significantly reduce maternal labor pain, shorten the time of labor, and the condition of the perineal injury is mild and easily acceptable. It is worthy of clinical promotion.