Advanced Emergency Medicine (E-Journal)
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Clinical Observation on the Treatment of Severe Acute Pancreatitis
Get PDFObjective: To investigate the medical treatment methods, efficacy and progress of acute severe pancreatitis. Methods: 60 patients of acute severe pancreatitis in our hospital was selected from October 2007 to December 2007. They were divided into two groups namely, the observation group and control group. The control group was treated by routine western medicine treatment with metronidazole, whereas the observation group received the combined treatment of conventional western medicine with paeonol, rhubarb and other Chinese medicine. After the medical treatment was found to be ineffective, the patients then underwent for surgery. Both groups were observed and compared in terms of the cure rate, death rate, symptom relief time, fever duration, recovery time of intestinal peristalsis and hospitalization. Result: The cure rate, symptom relief time and hospitalization time were significantly different between the two groups, with the observation group was significantly better than the control group (p < 0.05). Conclusion: The usage of metronidazole, Cortex Moutan, rhubarb and other traditional Chinese medicine in the treatment of severe acute pancreatitis (SAP) revealed good clinical efficacy, which is worth to be fostered in clinical application
Discussion of Relationship between Hematuria and Ultrasonic Renal Calculi in Young Man After Exercise
Get PDFObjective: To discuss the relationship between hematuria and ultrasonic renal calculi in young man after exercise. Method: In the medical observation, 48 cases of young male patients with hematuria after exercise in our hospital from January 2011 to December 2012 were selected as the observation objects, the subjects were transient hematuria, and 92 patients without hematuria were selected as the contrast, all patients underwent ultrasound examination, the detection rate of renal calculi and the ultrasonic manifestation were retrospectively analyzed. Results: The incidence of renal calculi of the young and middle-aged male patients with hematuria after exercise is statistically different in different parts and different age (p < 0.05), and the incidence rate of renal calculi in patients with hematuria after exercise and patients without hematuria was significantly different (p < 0.05), as shown in Table 1, Table 2. There was no obvious linear relationship between the degree of hematuria and the incidence of renal calculi after young men's exercise, as shown in Table 3. Conclusion: From this clinical research results we can know that renal calculi is the main cause of hematuria after exercise for the young man, and the clinical examination and diagnosis of renal calculi with ultrasonography has higher clinical detection rate, therefore the clinical application value is higher
Analysis of Diagnostic Value of Ultrasonography in Perianal Abscess and Anal Fistula
Get PDFObjective: To discuss the diagnostic value of ultrasonography in perianal abscess and anal fistula. Method: through retrospectively analyzing clinical data of 80 cases of perianal abscess and anal fistula patients in our hospital from January 2010 to December 2011, compare the sensitivity (Se), specificity (Sp) and positive predictive value of transrectal ultrasonography and body surface ultrasonography. Results: Operation pathology of 80 cases of patients confirms that there are 35 cases of single perianal abscess (43.8%), transrectal ultrasonography and body surface ultrasonography diagnosis also confirm 35 cases; 2 cases of single anal fistula (2.5%), transrectal ultrasonography and body surface ultrasonography diagnosis also confirm 2 cases; 43 cases of abscess combined anal fistula (53.8%), body surface ultrasonography diagnosis confirms 39 cases of abscess and 36 cases of anal fistula transrectal ultrasonography diagnosis confirms 40 cases of abscess and 38 cases of anal fistula. There is no significant difference in Se, Sp and positive predictive value between two groups (p > 0.05). Conclusion: There is no significant difference in Se, Sp and positive predictive value of body surface ultrasonography diagnosis, but it can obviously relieve patients' pain
Clinically Studies on Treatment of Pulmonary Arterial Hypertension Induced Right Heart Failure
Get PDFObjective: to study a clinical treatment of pulmonary arterial hypertension induced right heart failure. Method: A total of 60 cases of pulmonary heart disease right heart failure patients were randomly divided into observation group and control group in which 30 cases for each group. Results: In the observation group of 30 cases, 14 cases produce an effect, 15 cases is effective, 2 cases is invalid and the total effective rate is 96.6%. In the control group of 30 cases, 8 cases produce an effect, 17 cases is effective, 5 cases is invalid and the total effective rate is 83.3%. Conclusion: Dobutamine can alleviate symptoms of heart failure, reduce heart failure patients’ fatality rate and improve prognosis
Discussion on Rehabilitation Nursing of Patients with Post Injury in Clinical Emergency
Get PDFIn any case, preventing the injury of spinal before the application of the treatment for spinal injury has a positive significance. This can reduce or prevent the occurrence of the injury again. So, it reflects a very important significance treatment in the hospital. We use the pre-development and strictly followed the procedure of the spine injury and carry out the professional rescue procedure in the patients after the injury in order to obtain a very satisfactory result
182 Cases of Premature Rupture of Membranes and Treatment Strategy Analysis
Get PDFObjective: Related factors and treatment strategies of premature rupture of membranes (PROM) were discussed. Method: Retrospective analysis of 182 cases of preterm premature rupture of membranes (PPROM) from Yanshan County Hospital from January 2010 to October 2015. Results: From the 182 cases [123 vaginal delivery and 59 cesarean section (C-section)], there were 79.12% PROM cases were detected in the presence of risk factors. Neonatal mortality and complications were significantly higher at 28−33 + 6 weeks of pregnancy than those at 34−36 + 6 weeks, 28−33 + 6 weeks, and 34−36 + 6 weeks. Conclusion: In order to improve the survival rate of newborns, the related factors leading to PPROM should be treated
Analysis of Etiology, Diagnosis and Treatment of Neonatal Pathological Jaundice
Get PDFObjectives: To investigate the causes of neonatal pathological jaundice and provide the basis for clinical diagnosis and treatment. Method: The clinical data of 120 cases of neonatal jaundice were analyzed retrospectively. Results: In the cause of the disease, 22 cases of neonatal asphyxia, accounting for 21, 17.50% cases of breast feeding, accounting for 13, 10.83% cases of ABO hemolytic disease, accounting for 24.17%, 8 cases of cesarean section, accounting for 6.67%, 5 cases of premature delivery, accounting for 4.17%, 6 cases of intracranial hematoma, accounting for 5%. Infection, breast feeding, neonatal asphyxia, ABO blood group incompatibility is an independent factor. 120 cases were cured and discharged. No serious sequelae and dysfunction occurred. Conclusion: To strengthen the perinatal health care, and pay attention to the prevention and treatment of risk factors, such as infection, neonatal asphyxia, and the use of appropriate breast feeding, can effectively reduce the incidence of neonatal pathological jaundice
Clinical Observation of Early Tracheotomy in the Treatment of Craniocerebral Trauma
Get PDFObjective: To investigate the clinical effect of early tracheotomy in treatment of severe craniocerebral trauma. Method: 42 patients of 24 h with traumatic brain injury before tracheotomy were treated as early group, 39 patients with 24 h trauma after tracheotomy were treated as conventional group. Polyvinyl chloride (PVC) tracheotomy tubes were used on all the patients. Results: The treatment time in the early group was significantly shorter than the conventional group. The mortality and the incidence of adverse reactions were significantly lower than that of the conventional group, and the difference was significant between the groups (p < 0.05). Conclusion: The efficacy and prognosis of early tracheotomy in patients with severe traumatic brain injury, surgical treatment are good and it is worthy of clinical application.Â
Clinical Effect of Integrated Traditional Chinese and Western Medicine in Treating Acute Cervicitis
Get PDFObjective: To investigate the clinical effect of integrated traditional Chinese and western medicine in treating acute cervicitis. Methods: 81 cases of patients with acute cervicitis which were treated in our hospital from September 2013 to March 2015 were selected as research objects. According to the method of random sampling, the patients were divided to A group (Integrated traditional Chinese and western medicine treatment), B group (Western medicine treatment) and C group (TCM treatment) with 27 cases in each group. Results: The treatment of integrated traditional Chinese and western medicine is much easier to get patients’ acceptance and affirmation. Besides that, the clinical effect of feedback is better than the single use of traditional Chinese medicine or western medicine treatment. Conclusion: The clinical effect of integrated traditional Chinese and western medicine in the treatment of acute cervicitis is better than the use of traditional Chinese medicine or western medicine
Analysis of VTE Multiple Risk Factors and Active Prevention in High Risk Group
Get PDFDeeper understanding of venous thrombosis’s risk factors and pathogenesis for patients at high risk group and the patient would be informed the disease risk and be advised of the need to improve the way of life. Strengthening of the hospitalized patients with VTE multiple risk factors for risk assessment and the active prevention are effective in reducing the morbidity and mortality rate of VTE