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N-乙酰半胱氨酸抢救对乙酰氨基酚中毒1例
N-乙酰半胱氨酸(NAC)作为一种黏液溶解剂,广泛应用于多种呼吸系统疾病.近年来发现NAC具有肝脏保护作用,用于治疗对乙酰氨基酚中毒所致的肝脏毒性损伤.下面就我科收治的1例应用NAC治疗对乙酰氨基酚中毒的病例报告如下:
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依托信息技术手段提升门急诊服务质量
近来,各级政府和卫生行政主管部门非常关注医院门急诊患者就医问题,纷纷出台了一系列相关规定或办法,以改善门急诊患者就医环境,切实提高门急诊医疗服务质量.
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军队疗养院在突发灾难中应急救治的难点与对策
随着世界和平相对稳定,突发灾难性事件愈来愈成为威胁人类生存和健康的重要公共问题.灾难性事件主要有以下几个特征:①突然发生、异乎寻常.
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疗养院放射科急诊工作体会
疗养院放射科遇到急症的情况较少,但是一旦遇到,病人病情往往较重,需要放射科医生紧急正确处理后,临床医师才能及时正确地抢救病人.放射科遇到急症时必须注意几点:①要尽可能快地检查病人,以便给临床医师争取更多的抢救时间.
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妊娠高血压综合征并发脑出血的语言康复护理
BACKGROUND:Pregnancy induced hypertension syndrome associated with cerebral hemorrhage is the common cause of obstetric death and even emergency treatment succeeds,living quality is affected because of lalopathy.
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静脉阿昔单抗紧急治疗卒中无效
先前的一项随机双盲安慰剂对照研究提示阿昔单抗治疗急性缺血性卒中可能是安全和有效的.在根据发病时间和卒中严重程度分层的2个研究队列中,美国爱荷华大学卡佛医学院神经科Adams等进行的一项国际随机双盲安慰剂对照3期试验--阿昔单抗紧急治疗卒中试验(Abciximab in Emergency Treatment of Stroke Trial,AbESTT-Ⅱ),评价了发病5 h内静脉注射阿昔单抗的相对疗效和安全性.
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进一步提高急危重症抢救的存活率
内科急危重症是内科范围内的一个特殊领域。急危重症患者往往处于生与死的边缘,这生与死的跨越很大程度上取决于医师的即刻判断和及时正确的处理。对急危重症患者抢救的存活率是反映一个医师、一个医疗单位、一个医院的医疗水平重要的指标之一。这一指标更是衡量一个国家医疗卫生事业发展水平的重要依据。 如何大限度地提高抢救存活率,是世界各国临床医学家们所共同关注的热点。随着临床医学的迅速发展,急诊抢救的诊疗措施及相关设备的日益专业化,自60年代后期,西方国家已开始建立独立的急诊医学专科和相应的学术机构。通过总结经验、专题研讨以及组织多中心研究制定相应的指南,在提高临床诊疗水平促进学科发展上起着十分重要的作用。我国急诊医学作为一个专业的新兴学科,始建于80年代后期,十几年来已有了较快的发展,但各个城市、各医院之间的发展很不平衡,与国际水平相比尚有较大的差距。在专科的建制、专业人员的培训、相应的抢救设施的配备以及院前急救和社区的支持配合上还远远不够完善,特别是缺乏有代表性的以循证医学为基础的临床研究,以及以此为基础制定的具有我国特色的诊疗指南。
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ISO9001导入急诊医疗质量管理的理论与实践
患者对医疗质量越来越高的期望迫使人们对急救医疗质量进行全方位管理和控制,以使患者对其医疗服务有充分的信心;为此我们在选择质量管理模式上定位于ISO9001国际质量管理标准,将这一先进的管理模式引入急救质量管理之中,建立起一套赋有现代质量管理理念的急诊质量管理体系。
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Objective: To study the mechanism and treatment principle of spinal fractures combined with paraplegia and diaphragm injury. Methods: A total of 16 patients (14 males and 2 females, aged from 18 to 50 years) with spinal fractures combined with paraplegia and diaphragm injury, receiving emergency treatment and admitted to our hospital in the past 20 years, were retrospectively analyzed in this study. Results: The injuries were caused by direct or indirect violence. Six cases were of fractures of cervical spine combined with paraplegia and diaphragm injury, 2 of fractures of thoracic vertebra combined with paraplegia and diaphragm injury, and 8 of thoracolumbar fractures combined with paraplegia and diaphragm injury. Six cases received non-operative treatment, but died finally. Ten cases received spine surgical treatment, of which 4 died and 6 were improved. The total mortality rate was 62.5%. Conclusions: Spinal fractures combined with paraplegia and diaphragm injury are one of the most severe traumas in departments of orthopaedics. Paraplegia can be found easily, but diaphragm injury is often neglected and missed. When a patient suffers from both of them, he is in danger of death. What measures should be taken to rescue the patients life depends on the severity of the wounds.