肥胖孕妇行剖宫产术的麻醉问题研究

随着社会经济的发展和饮食结构的变化,肥胖已经成为威胁人类健康的一大严重问题,孕妇也不例外。这类患者在分娩过程中,所面临的风险及出现异常情况导致严重并发症的几率大大超出体重正常范围内增加的产妇。文章对肥胖产妇行剖宫产术时麻醉的病理生理改变、麻醉方式的选择、围术期并发症等方面进行了阐述,以期全面探讨此类产妇的剖宫产麻醉问题。     

1例经阴道超声诊断双子宫一侧宫腔妊娠报道

子宫发育异常是生殖器官发育异常中最常见的一种,子宫发育异常种类繁多,需要超声仔细观察鉴别,经阴道超声探头频率高,避开肠腔气体及腹壁脂肪的影响,能清晰显示宫腔内孕囊与内膜的关系以及宫腔内膜与宫颈的关系.正确地诊断双子宫畸形并一侧宫腔妊娠,为早孕提供确切的受孕部位,为需要做人工流产术者提供准确信息,减少盲目性.     

青少年竞走运动员的心理诊断

采用"福莱斯特心理负荷症状调查表 "对影响竞走运动员的竞赛心理因素进行测试和研究.结果说明:不同因素使不同性别、组别、年龄的竞走运动员参赛时的心理表现不同.各种不利因素的出现使运动员主要产生"这是我经常失败的原因"和"成绩总是不好"的心理.生理因素的影响是造成运动员经常失败的原因之一.认知因素和刺激因素的出现使运动员的心理表现主要为"这一情况对我无所谓",其次是"激励我去夺取优异成绩".影响成绩的因素主要为"失眠"、"情绪过于紧张"和"出师不利"、"自我感觉身体不适,竞技状态不佳".     

体育锻炼对青少年学生心理障碍的改善和调理

目前,威胁我国青少年学生健康的心理行为问题日益突出,心理障碍是青少年学生产生这种心理行为异常,甚至导致犯罪的主要诱因。分析体育锻炼改善和调理心理障碍的基本原理与独特优势,根据青少年学生中常见的几种心理障碍类型和各类体育运动的特点提出改善和调理心理障碍相应的运动处方．以便患者有效的消耗因患心理障碍所积聚的大量的心理能量,打乱患者已形成的病态心理秩序。最终使患者达到身心平衡,实现身心健康。     

The Journey of Becoming a Mother

Nature intends that the physical and hormonal changes of pregnancy insure the growth and development not just of the baby but of the mother. The physical and emotional changes of pregnancy and, then, labor, birth, and breastfeeding play vital roles in guiding women on the journey of becoming a mother. Standard prenatal care and medicalized labor and birth interfere in powerful ways with nature''s plan and, consequently, women''s ability to negotiate this journey. In this column, these issues are explored, and implications for childbirth education are discussed.     

浅探肌注MTX保守治疗宫外孕

目的：探计肌注MTX保守治疗早期宫外孕的临床效果．方法：60例未破裂型宫外孕随机分两组，第一组30人给于一次性肌注MTX 50mg/d，第二组30人给于肌注MTX20mg/d共5d．结果：两组治愈率分别为：86．6％，80．0％．一次性肌注MTX的治愈率比分次肌注MTX的治愈率明显增高，两者之间有显著性差异(P＜0．05)．结论：应用肌注MTX保守治疗早期宫外孕效果好，剂量小，毒副作用少，能保留生殖功能，易被患者所接受，是值得推广的方法．由于同一种药物，用药方法不同也会疗效不同，所以正确掌握MTX保守治疗指征及方法，可提高宫外孕的非手术治愈率．     

Learner pregnancy in South Africa’s Eastern Cape: The Factors affecting adolescent girls' school withdrawal during pregnancy

An early pregnancy often puts an end to a girls’ education. However, few studies have investigated which factors affect adolescents’ school discontinuation during pregnancy. This study interviewed 1,046 adolescent mothers from the Eastern Cape province in South Africa. The results showed that a quarter of school-going adolescent girls withdrew from school during the pregnancy - many as early as the first trimester. School withdrawal was associated with higher poverty, higher grade repetition, an unplanned and unwanted pregnancy, and greater lack of information about the pregnancy. Given the high enrolment rates at the onset of the pregnancy, school-based services may provide an opportunity to identify which girls require substantial support to remain in education throughout pregnancy, using a history of poor school performance as an indicator for dropout.     

妊高征患者血清免疫球蛋白及补体C_3的结果分析

目的探讨妊高征患者血清免疫球蛋白(IgG、Ig M、IgA)及补体C_3的变化规律及它们在妊高征发病中的作用。方法对75例妊高征患者(轻度25例,中度30例,重度20例),与正常妊娠组(60例)血清免疫球蛋白和补体C_3进行比较。结果与正常妊娠组比较,血IgG水平在轻、中、重度妊高征组中差异非常显著(P<0.01);血Ig M、IgA水平及补体C_3水平在轻度妊高征组中无显著差异(P>0.05),但在中、重度妊高征组中显著差异(P<0.01)。结论妊高征患者血清免疫球蛋白及补体C_3的浓度均低于正常妊娠组,其生理性免疫功能受到抑制。     

妊娠期抗微生物药物的合理选用

论述了各类抗微生物药物对胎儿、新生儿的主要影响 ,明确指出了妊娠不同时期禁用及可以安全使用的抗微生物药物 .