简介:摘要随着新、高、尖手术的不断发展,以及手术室与供应室的一体化管理,促使手术室对清点核对制度的规范化,清点核对制度是手术室工作中非常重要的制度之一,严格清点核对制度就能够完全避免异物遗留体腔。医用显影纱布垫有很好的灭菌效果,并且,在医疗手术中,可以容易的检查到是否遗漏在患者体内,是纱布垫最先进的产品,对伤者的伤口、手术帮助非常大,透气性好,严格的消毒程序,是一种高度洁净医疗用品。医用显影纱布垫在实际手术过程中扮演着不可取代的重要角色,如空腔脏器在手术过程中的残端消毒,手术过程中一些小体腔、小动脉的压迫止血,这些手术医生都习惯用到纱布垫,在手术台上它像其他的腹纱、缝针一样成了手术必备物品,杀菌灭毒效果极好,可以有效的促进伤口愈合。
简介:摘要目的分析女性腹胀、腹水、盆腔包块患者的诊断治疗过程及结果。探讨临床特点和诊断依据,减少误诊。方法回顾分析12例女性腹胀、腹水、盆腔包块患者的病史、临床表现、诊断及治疗结果。结果腹胀、腹水、盆腔包块是女性盆腔腹膜结核的临床特征。12例中1例入院后诊断为盆腔腹膜结核,行抗结核保守治疗治愈。其余11例均行剖腹探查或腹腔镜检查探取病变组织进行病理检查。3例诊断为卵巢癌,8例诊断为盆腔腹膜结核。结论女性腹胀、腹水、盆腔包块是盆腔腹膜结核的临床特征,但由于卵巢癌的临床表现相似,二者难以鉴别,临床易被误诊。综合分析病史,症状和辅助检查结果,可以提高诊断准确率。剖腹探查或腹腔镜检查,探取病变组织,进行病理诊断是明确诊断的可靠依据。手术清除结核病灶,有利于盆腔腹膜结核的治疗。
简介:摘要目的分析恶性胸腔积液(胸水)的病理类型、组织来源及临床特点。方法选取启东市人民医院2017年5月至2019年10月经液基细胞学检查发现异型细胞后制成细胞块并行免疫组织化学检查、明确诊断为恶性胸水的细胞块105例,分析病理形态特征、免疫组织化学特点及临床特点。结果胸水恶性细胞经免疫组化证实为肺腺癌来源的共94例,占89.52%,甲状腺转录因子1(TTF-1)、天冬氨酸蛋白酶A(Napsin A)、癌胚抗原(CEA)阳性;肺小细胞癌来源1例,占0.95%,神经细胞黏附分子1(CD56)、突触素(Syn)阳性;肺鳞状细胞癌来源2例,占1.90%,细胞角蛋白5/6(CK5/6)、P40阳性;卵巢来源腺癌1例,占0.95%,癌抗原125(CA125)阳性;乳腺来源腺癌4例,占3.81%,雌激素受体(ER)、孕激素受体(PR)、囊泡病液蛋白15(GCDFP-15)阳性;胃肠道来源腺癌2例,占1.90%,肠特异性转录因子2(CDX-2)阳性;胰腺来源腺癌1例,占0.95%,癌抗原19-9(CA199)阳性。结论肺腺癌是引起恶性胸水的最常见原因,TTF-1、NapsinA、CEA对于肺腺癌来源的肿瘤细胞呈阳性表达,3种标志物联合应用有助于明确诊断,同时应与其他类型肺癌及其他部位来源的肿瘤鉴别。
简介:[摘要]目的:分析胎儿腹部囊性包块的产前超声诊断的效果。方法:针对我院实施超声诊断的胎儿腹部囊性包块胎儿68例作为研究对象,分析胎儿包块的超声诊断特点并且分析产后情况。结果:本文收治的病例中,单纯腹部囊性包块占比为8.82%、脾囊肿占比为2.94%、卵巢囊肿占比为13.24%,肠重复、单纯腹部囊性包块、胆总管囊肿、巨膀胱占据较大。28周以上的患儿,卵巢囊肿的占比最大,其次为肠重复。分析产后具体情况,肠重复、单纯腹部囊性包块、肾上腺区囊性包块、卵巢囊肿产后消失率较高,但胆总管囊肿、肝囊肿以及巨膀胱的消失率较差。结论:为胎儿实施产前超声检查能够确定腹部囊肿包块的具体性质,并且给予合理、有效的产前咨询,从而对保障胎儿预后有重要意义。
简介:摘要BACKGROUNDCorona Virus Disease-2019 (COVID-19) pandemic is quickly spreading, putting under heavy stress health systems worldwide and especially Intensive Care Units (ICU). Rehabilitation Units have a crucial role in reducing disability in order to reintroduce patients in the community.OBJECTIVETo characterize pulmonary function and disability status and to propose an early rehabilitation protocol in a cohort of post-acute COVID-19 patients admitted to an Italian Rehabilitation Unit.METHODSDemographic, anamnestic and clinical characteristics, laboratory exams and medical imaging findings were collected for the entire cohort. Outcome measures evaluated at the admission in Rehabilitation Unit were: type of respiratory supports needed, fraction of inspired oxygen (FIO2), partial pressure of oxygen (PaO2), FIO2/PaO2, Barthel Index (BI), modified Medical Research Council (mMRC) Dyspnoea Scale, and 6-Minute Walking Test (6-MWT). Furthermore, we proposed an early rehabilitation protocol for COVID-19 patients based on baseline FiO2.RESULTSWe included 32 post-acute COVID-19 patients (22 male and 10 female), mean aged 72.6±10.9 years. BI was 45.2±27.6, with patients in need of higher FIO2 (≥ 40%) showing lower values: 39.6±25.7 vs 53.3±29.3. All patients had grade 4 or 5 on the mMRC Dyspnoea Scale. Only 14 COVID-19 patients were able to walk (43.7%). 6-MWT was feasible in 6 (18.8%) patients with a mean distance of 45.0±100.6 meters.CONCLUSIONSTaken together, our findings suggest that post-acute COVID-19 patients suffered from dyspnoea and shortness of breath even for minimal activities, with a resulting severe disability, and only a few of them were able to perform 6-MWT with poor results. An early rehabilitation protocol was proposed according to the baseline conditions of the patients.
简介:摘要结合当前的区块链技术的发展,从相关的供应链金融发展情况入手,探讨了如何将区块链技术发展供应链金融相关问题,并论述了区块链技术下供应链金融发展的机遇与挑战,希望今后的供应链金融模式创新发展所有帮助。