侧脑室引流治疗脑出血5例体会

长期以来,侧脑室引流作为解除急性脑积水的应急措施,以暂时缓解病情,争取时间进行定位诊断。后来,扩大到治疗某些脑出血。1996年以来,我科对5例侧脑室出血及丘脑出血破入侧脑室者行侧脑室引流术,术后严加护理,取得了较满意的效果,现报告如下: 1 临床资料 1.1 一般资料 5例中,男4例,女1例;年龄50～73步,平均58岁;单纯脑室出血2例,脑     

无偏瘫型脑出血的临床与CT42例分析

本文回顾性研究和分析1991年1月至1997年5月经CT平扫证实的42例无偏瘫型脑出血患者．其结果表示：在42例病例中,对例（78.6％）大于60岁活动中起病35例（83.3％）．临床表现多种多样．38例入院时神志清醒,入院前与入院后CT平扫发现出血位于脑的不同部位,且量较少,约0．5～60ml（平均79±11.5ml,出血破入脑室10例（23.8％）本文显示：无偏瘫型脑出血临床症状多种多样,典型的症状不是很明显,所以给诊断带来困难．放对此类病人应尽早行头CT平扫,同时应详细采集病史和进行神经系统查体,以助确诊和避免误诊．     

146例子宫收缩乏力性产后出血临床分析

1993～1998上半年间住院分娩总数5284例。其中产后出血166例。产后出血的原因主要有子宫收缩乏力性出血,胎盘、胎膜滞留及软产遭损伤。其中以子宫收缩乏力性出血为主。在分娩方式中,以手术产中产后出血发生率最高,产后出血量≥800ml时休克的发生率明显增高,提示:减少人工流产,减少前置胎盘的发生。加强围产期保健,积极纠正胎位异常,治疗妊娠高血压综合征,减低剖宫产率。     

急性脑出血患者术后医院获得性肺炎危险因素分析

目的:分析急性脑出血术后患者合并医院获得性肺炎(HAP)的相关危险因素,并探讨有效的预防措施.方法:回顾性分析我院的86例急性脑出血术后患者的临床资料,其中合并HAP患者34例.通过对年龄、有无糖尿病病史、有无饮水呛咳、GCS评分来分析脑出血术后患者与HAP发生率之间的关系.结果:脑出血术后患者HAP的相关危险因素有:年龄60岁、有糖尿病病史、有饮水呛咳、GCS8分等.结论:详细了解脑出血术后患者发生HAP的危险因素,根据相应危险因素采取有效地干预措施,加强防治,有效地减少HAP的发生.     

高血压危象的观察与护理

高血压危象是短时间内血压急剧升高引起的一种危及生命的临床综合征 ,在某种诱因作用下血压忽然升高超过 2 0 0 / 130mmHg ,同时伴有心、脑、肾急性器官损害。临床常见高血压急症有高血压脑病、蛛网膜下腔出血和脑出血 ,主动脉夹层瘤或急性心梗伴有严重的高血压等。高血压危象发病急、病情重、危险性大 ,护士细心、准确的病情观察为诊治提供了依据 ,精心的护理是患者早日康复的保障。     

小切口行人工髋关节置换术28例的疗效分析

目的:探讨如何降低经典入路人工髋关节置换术给患者尤其是老年患者所带来的损伤及风险.方法:采用改良式Moore切口,与Moore不同之处:切口在大转子最高点后侧1.5cm进入,前长6—8cm远离坐骨神经,外旋短肌群不切断,出血少,臀中肌用电刀作部分有限切开,确认转之间窝及髋关节囊后纵形切口直达髋关节.结果:本组手术切口平均长度7.5 cm,术中出血量平均350ml,术后12h平均引流量150ml,术后并发症相应减少,平均术后13天出院.按Harris关节评分,3个月内不低于72分,6个月内不低于80分,1年以上不低于90分,符合优良标准.结论:小切口行人工髋关节置换术,与经典入路相比减少了损伤及出血,降低了风险,值得推广.     

糖尿病围手术期处理

糖尿病患者可因各种外科疾病而须手术治疗 ,根据病情一般可分为急诊手术和择期手术。外科疾病、麻醉和手术等应激因素会加重糖尿病患者的代谢紊乱 ,使血糖升高甚至发生酮症酸中毒。当血糖 >11.1mmol/L时 ,组织修复能力差 ,伤口不易愈合 ;高血糖能抑制白细胞和巨噬细胞的功能 ,易于感染 ;长期血糖控制不良造成的糖尿病慢性并发症 ,术后易导致多器官功能衰竭甚至死亡 ,使围手术期死亡率增加。因此对糖尿病人要认真作好围手术期处理。1　择期手术的处理1.1　术前处理1.1.1　处理原则　需行择期手术的糖尿病患者术前应作好准备工作。术前必须正…     

51例严重急性呼吸综合征临床诊治初探

目的 :了解重症急性呼吸综合征(SARS)的临床特点以及探索临床有效的治疗方法。方法 :对 2 0 0 3 .4～ 2 0 0 3.6月收住张家口市传染病院 51例SARS患者临床资料进行总结。结果 :51例患者经抗病毒、抗生素、糖皮质激素、氧疗、中医中药、心理治疗、综合治疗后 ,痊愈出院。结论 :SARS病情发展迅速 ,应早诊断、早治疗、早隔离、综合治疗 ,合理使用糖皮质激素     

经三角肌微创入路结合3D打印技术治疗肱骨近端骨折的临床疗效

目的:观察经三角肌微创入路结合3D打印技术治疗肱骨近端骨折的临床疗效.方法:选取病例为2016年05月至2017年06月肱骨近端骨折60例本院患者,随机分为两组.30例患者选择并接受经三角肌微创入路结合3D打印技术治疗肱骨近端骨折(A组),30例患者选择并接受经三角肌胸大肌间隙入路治疗肱骨近端骨折(B组).比较两组手术时间,术中出血量,手术切口长度.随访12-15个月,随访内容包含骨折愈合时间、并发症发生率、肩关节功能评分等,进行比较分析.结果:A组与B组对比:A组在手术室时间、术中出血量、手术切口长度、并发症发生率、术后1月肩关节功能评分均优于B组,具有统计学差异(P0.05),而术后6月两组肩关节功能评分无统计学差异(P0.05).结论:经三角肌微创入路结合3D打印技术治疗肱骨近端骨折手术时间短,创伤小,并发症发生率低,其治疗效果优于经三角肌胸大肌间隙入路治疗肱骨近端骨折,值得临床推广.     

脓毒症研究现状

脓毒症这一概念始于50年代.脓毒症被定义为宿主对感染的全身反应,强调其与菌血症的存在相关.然而,多至50%的脓毒症病例并无可检测到的菌血症,且急性胰腺炎、创伤等非原发感染性疾病也可引起脓毒症.直至1992年确定了SIRS的概念,并提出脓毒症不必同时存在菌血症.另外,还制定了"重度脓毒症"和"脓毒性休克"的诊断标准,以显示疾病的分级.根据2001年12月美国华盛顿"国际脓毒血症会议定义"的观点:脓毒血症(sepsis)是感染引起的全身炎症反应综合征,当其中合并(单一)器官功能障碍时称严重脓毒血症(severe sepsis);多器官功能障碍综合征(MODS)是各种感染或非感染因素如创伤、休克、胰腺炎等损害机体发病24小时后同时或先后发生两个或两个以上器官或系统功能障碍直至衰竭的临床综合征.近年来随着研究的深入,对于脓毒血症和感染性休克的发病机制及治疗方法有了很大提高,将其中的主要进展概述如下.     

Western and Eastern culture differences in commercial field

The communication of people partially is the communication of cultures. Culture has a direct effect on international commercial activities in all aspects. Different conceptions about time, space, equality, law and the like, lead people to deal with things in different ways. So to know cultures of the counterpart is to facil-itate our enterprises so as to have a smooth and successful communication in commercial activity.     

风的曲线

Rosco and I wait for the fishermen to return.I sit at a wooden bench near the store at Mt.Baker Resort and watch the clouds change shape. Rosco has my belt around his neck and an eight foot tow chain hooked to a tree. Dogs must be on a leash. Ducks and rabbits are loose.     

团图为数的图中的闭团贯数

Given a graph G,a subgraph C is called a clique of G if C is a complete subgraph of G maximal under inclusion and |C|≥2. A clique-transversal set S of G is a set of vertices of G such that S meets all cliques of G. The clique-transversal number, denoted as TC (G), is the minimum cardinality of a clique-transversal set in G. The clique-graph of G, denoted as K (G), is the graph obtained by taking the cliques of G as vertices, and two vertices are adjacent if and only if the corresponding cliques in G have nonempty intersection. Let F be a class of graphs G such that F={G|K(G) is a tree}. In this paper the graphs in F having independent clique-transversal sets are shown and thus TC (G)/|G|≤1/2 for all G ∈ F.     

汉字倒说

汉字的六书,《说文》对“转注”一类,语焉不详。后世学者提及转注,也仅限于许慎所举出的例字。《汉字例说》一文,作者从转注的角度综合考虑,对部分现代常用字作了分析,跟传统的解释有所不同。希望能抛砖引玉,互相切磋,以推进学术研究。     

卡思卡特城堡

It is worthy of noting that, whilst Crookston Castle witnessed the earlier and happier portion of Mary's variegated life,     

不同的吃喝玩乐

一、吃和喝吃苹果 eat an apple, 吃药 take medicine,吃糖 have some sweets,吃饭 have one's meals,吃馆子 dine out,吃惊 be surprised/     

漏洞百出的教育

Many college freshmen arrive woefully unprepared to do college work, and as disadvantaged populations continue to grow, the share of the American work force that has made it through college is expected to plummet. Many experts blame that educational failure not just on high schools but also on colleges. School & College, a special report by The Chronicle, looks at efforts to fix the system. What reforms would better prepare students for college? What should schools and colleges be doing differently? How should state and federal officials help?     

Social and Cultural Influence on Word Meaning

Different nations have different social cultures, and the social culture of every nation is developing with the development of the nation, language is greatly influenced by social culture, which enables language to possess national and historical characteristics. Word is the smallest, independent, meaningful linguistic unit of language. It can well reflect the national and historical characteristics. From synchronic aspect, the social and cultural influence on word meaning is mainly embodied in conceptual and associative meanings of word. The incorrespondence of word meaning is a phenomenon that exists in both conceptual and associative meanings of word among different languages. From diachronic aspect, the development of social culture causes some changes of word meaning to some extent. Therefore, social culture plays a key role in vocabulary learning and mastery of a language.     

钱生钱!

我们绝大部分人都同意一件事情——我们喜欢金钱。但是你对金钱的喜欢之情足够到让你创立一份事业么?.财富通常被人忽视,主要在于人们不能真正了     

只要努力,不要后悔

There are numbers of crossroads on our long and unpredictable life journey where we totally have no idea about which direction to choose. No matter what our decision is, we should not turn back, but face the music and go ahead instead. I am this kind of girl who always does try without regretting, one example is how I dealt with my love.