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One, suck phlegmy the preparation before works 1 should make sure negative pressure attracts plant above all each conduit joins correct, close together, unobstructed, assure significant negative pressure, general adult 10.64~15.96Kpa, the baby should be controlled in 7.98~10.64Kpa. 2 preparation rinse the asepsis physiological saline that smokes phlegmy pipe 2 bottles, 1 bottle wash pump technically with Yu Chong the suction inside tracheal spile is phlegmy canal , additional 1 bottle rinse those who had sucked mouth, nasal cavity technically to smoke phlegmy pipe . 3 equipment are very different the asepsis of model sucks phlegmy canal and asepsis glove. 4 because suck phlegmy itself,be a kind of stimulation to the patient, sober patient is not willing to suck normally phlegmy, and the family member of insensible patient also thinks to suck phlegmy special anguish.

一、吸痰前的预备工作1首先要保证负压吸引装置各管道连接正确、紧密、通畅,保证有效的负压,一般成人10.64~15.96Kpa,婴儿应控制在7.98~10.64Kpa.2预备2瓶冲洗吸痰管的无菌生理盐水,1瓶专门用于冲洗抽吸气管插管内的吸痰管,另1瓶专门冲洗吸过口、鼻腔的吸痰管。3备好不同型号的无菌吸痰管及无菌手套。4由于吸痰本身对病人是一种刺激,清醒的病人通常不愿意吸痰,而昏迷病人的家属也认为吸痰非凡痛苦。

Will nurse now the introduction is as follows. 1 clinical data this group patient of 58 tuberculosis big haemoptysis, male 38, female 20; age 20 years old of ~75 year old; haemoptysis all exceeds 500mL inside quantity 24h, 10 when exceed 800mL among them, 5 of shock of amalgamative and exsanguine sex, 3 when amalgamative haemoptysis chokes. 58 ill average per capita live in the rescue room of my division, rescue is indoor set major to protect personnel especially, 24h is on duty, did not accompany protect, via be treated actively and nursing, all ill average per capita gets controlling in the 1 haemoptysis inside week. 2 nurse 2.1 after doing good rescue to prepare be in hospital of patient of phthisical big haemoptysis, all arrange in rescue room, interior equipment good oxygen, attract implement, appearance of custody of report of bag of tracheal spile, tracheal incision, heart, synchronous lung ventilator, except quiver the rescue equipment such as appearance and relevant rescue medicines and chemical reagents, if appear,choke wait for critical condition, in order to facilitate rescue. Rescue of 2.2 environments requirement is indoor should maintain air fresh, temperature is appropriate, keep quiet and eliminate all sorts of undesirable stimulation, avoid family member visit, reduce air pollution and alternate infection.

现将护理介绍如下。1临床资料本组58例肺结核大咯血病人,男38例,女20例;年龄20岁~75岁;咯血量24h内均超过500mL,其中超过800mL的10例,合并失血性休克的5例,合并咯血窒息的3例。58例病人均住在我科的抢救室,抢救室内设有专业特护人员,24h值班,没有陪护,经积极治疗和护理,全部病人均在1周内咯血得到控制。2护理2.1做好抢救预备肺结核大咯血病人住院后均布置在抢救室,室内备好氧气、吸引器、气管插管、气管切开包、心电监护仪、同步呼吸机、除颤仪等抢救器材及相关抢救药品,若出现窒息等危急情况,以便于抢救。2.2环境要求抢救室内要保持空气新鲜,温度适宜,保持恬静和消除各种不良刺激,避免家属探视,减少空气污染和交叉感染。2.3。。。

After iewing each patient, surgeons were asked if: 1 spinal fusion with or without thoracoplasty would improe the patient's appearance; and 2 whether they would recommend this patient for spinal fusion with or without thoracoplasty.

每次诊治病人医生回答以下两个问题:1)伴有或不伴有胸椎成型的脊柱融合是否将改进病人的外貌,2)他们是否建议病人进行伴有或不伴有胸椎成型的脊柱融合术。

Methods The phage displayed antigens of paragonimus were used to examine the sera of patients with paragonimiasis,schistosomiasis,trichinosis and healthy people,and their sensitivity and specificity were acquired;The templates of the mimic antigen were purified to determine the sequence and the sequence homology was analyzed by Blast.

方法建立肺吸虫噬菌体模拟抗原的ELISA,对肺吸虫病人、日本血吸虫病人、旋毛虫病人及健康者血清进行检测,分析其敏感性和特异性;提纯噬菌体模拟肽的DNA模板进行序列测定,以Blast软件分析其序列同源性。

Methods and Results— A working group was commissioned to reiew accumulated experience with pediatric heart transplantation and its use in patients with unrepaired and/or preiously repaired or palliated congenital heart disease, in patients with pediatric cardiomyopathies, and in pediatric patients with prior heart transplantation.

方法和结果----一个工作组被委任对未修复和/或早先被修复或被减轻的先天心脏病病人、有儿科心肌病病人、有预兆心脏移植的儿科病人进行儿科心脏移植和它的用途的回顾以积累经验。

with the improvement of the general practitioner on treatment and communication,most old chronic patients can be reasonable treatment.The primary transfer reason is examinational equipment and drug deficiency,complication:treatment of hypertension and diabetis、the drug treatment need improve.choose self-register patients are more,exploit area health community aren't enough.As transfer patients all come back to commuty,we can recognize the patients' acceptive to general practitioners.

随着社区全科医生的业务水平和管理沟通能力的提高,绝大多数老年慢病病人可在社区得到妥善的救治,转诊的主要原因是医疗检查设备缺乏和药品不足,高血压、糖尿病的并发症治疗、冠心病的药物治疗是社区医生需要加强的,采用自行挂号到三级医院看病的老年患者较多,区域医疗共同体转诊途径利用不足,从经上级医生诊治后病人能全部回到社区医生手中可看出病人对社区医生的技术水平的认可。

When treating patients of Condyloma acuminate, files should be made with regular tests and visits.

结论对尖锐湿疣患者的管理,应建立好病人档案,进行定期复查或随访,同时掌握各类患者的心理特点和做好病人的心理沟通,才能消除患者的心理负担,使病人积极地配合治疗。

Design, Setting, and Patients After exposure to an index patient whose fatal illness was characterized by fever and hemorrhage at a primary care hospital and regional tertiary care hospital's isolation ward, secondary cases with febrile illness who were suspected of being exposed were tested for antibodies against Anaplasma phagocytophilum and by polymerase chain reaction and DNA sequencing for A phagocytophilum DNA.

2006年11月9日与17日之间在中国安徽省的一家地区医院中,为数9人的具有发烧和其它症状的病人被诊断患有HGA。这些病人都没有被蜱叮咬过。但所有这9位病人都在指标病例死亡前12小时内与其有过接触,该指标病例被怀疑患有致命性HGA,她出现了大出血并接受了气管内插管(即将一根柔韧的塑胶管子置放在气管中以帮助肺部的通气。)。

After antituberculotic treatment for 6 months.The rates of sputum coversion of group 1,group 2 and group 3 were 76.92%,94.79% and 100% respectively.The mean sputum coversion time of group 1,group 2 and group 3 were 12.46 weeks 5.0 weeks and 3.0 weeks respectively and the rates of focus absorption of group 1 ,group 2 and group 3 were 61.54%. 86.46% and 100% respectively.

经过6个月抗痨治疗后,Ⅰ组痰菌转阴率为76.92%,平均转阴时间为12.46周,病人疗程结束时,肺内病灶X线吸收占61.54%;Ⅱ组痰菌转阴率为94.79%,平均转阴时间为5.0周,病人疗程结束时,肺内病灶X线吸收占86.46%;Ⅲ组痰菌转阴率为100%,平均转阴时间为3.0周,病人疗程结束时,肺内病灶X线吸收占100%。

Results:according to the outcome of test,168 cases with new bacteriological positive ptb were divided into negative reaction group(group 1),positive reaction group (group 2)and strong positive reaction group(group 3).after antituberculotic treatment for 6 months.the rates of sputum coversion of group 1,group 2 and group 3 were 76.92%,94.79% and 100% respectively.the mean sputum coversion time of group 1,group 2 and group 3 were 12.46 weeks 5.0 weeks and 3.0 weeks respectively and the rates of focus absorption of group 1 ,group 2 and group 3 were 61.54%.

结果:168例痰菌阳性初治的结核病患者,根据ppd试验的结果分为阴性组,阳性组,强阳性组。经过6个月抗痨治疗后,ⅰ组痰菌转阴率为76.92%,平均转阴时间为12.46周,病人疗程结束时,肺内病灶x线吸收占61.54%;ⅱ组痰菌转阴率为94.79%,平均转阴时间为5.0周,病人疗程结束时,肺内病灶x线吸收占86.46%;ⅲ组痰菌转阴率为100%,平均转阴时间为3.0周,病人疗程结束时,肺内病灶x线吸收占100%。

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