Advanced Emergency Medicine (E-Journal)
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Clinical Study of Urinary Kallidinogenase in the Treatment of Progressive Cerebral Infarction
Get PDFObjective: To evaluate the efficacy and safety of Urinary kallidinogenase in the treatment of progressive cerebral infarction. Method: 104 cases of patients with acute cerebral infarction were randomly divided into treatment group and control group; where control group (52 cases) patients on with only basic medicine, while treatment group (52 cases), besides the basic medicine, patients will on urinary kallidinogenase 0.15 PNAU + 0.9% normal saline 100 mL intravenous injection, 1 times per day, and continuous for 14 days. The degree of neurological impairment (NIHSS) was assessed before and after treatment, and the changes of blood pressure were monitored. The liver, renal function, fibrinogen, platelet, and the adverse reactions were recorded and followed up in three month. Results: After treatment, NIHSS scores of the both groups were decreased (p < 0.05), however, total effective rate for treatment group were better than control group (p < 0.05). Conclusion: Urinary kallidinogenase is safe and effective in the treatment of progressive cerebral infarction
Clinical Analysis of Severe Pulmonary Fungal Infection in Intensive Care Unit
Get PDFObjective: To analyze the characteristics of ICU patients with severe pulmonary fungal infection and the effect of preventive medicine. Method: The study group of 68 cases in the discovery of fungal infection associated with adverse symptoms before clinical implementation of preventive antibiotics, the control group of 52 cases in the discovery of symptoms and the diagnosis of fungal infection after symptomatic application of antibiotics. The efficacy of the two groups was compared and the characteristics of fungal infection were analyzed. Results: The effective rate of the study group was significantly higher than control group (p < 0.05). The proportion of Candida albicans was the highest, and was significantly higher than that of smooth Candida glabrata and Candida parapsilosis, (p < 0.01). Conclusion: For the treatment of ICU severe pulmonary fungal infection in patients with the use of prophylactic antibiotics can improve the treatment effect of fungal infection, clinical medication should pay attention to avoid abuse and analysis of the characteristics of drug use
Analysis of Clinical Effect of Treating Arrhythmia with Stable Heart Granules
Get PDFObjective: To study the clinical effect on the treatment of cardiac arrhythmia, and further guide the clinical treatment. Method: From January 2011 to January 2013, 100 patients with arrhythmia were randomly divided into observation group and control group with 50 cases in each group. Observation group patients given oral Stable heart granule treatment, while control group was treated with oral propafenone treatment. The therapeutic effect and adverse reactions of the two groups were observed and compared. Results: The total effective rate of the observation group was higher than control group and incidence of adverse reactions was lower than control group, the difference was statistically significant, p < 0.05. The use of stable heart particles in the treatment of arrhythmia produce significant effect. Conclusion: Clinical effect for Stable heart granule on arrhythmia was significant and should widely entrenched in clinical practice
Analysis of Operation Room in Laparoscopic Colorectal Cancer Radical Operation
Get PDFObjective: To analyze the effect of operation room combined with laparoscopic colorectal cancer radical resection, for clinical reference. Method: From July 2011 to June 2012 in our hospital, 62 cases of laparoscopic colorectal cancer radical resection as the observation group, which treated with optimize operation room nursing. In the same period, 58 patients were treated with routine nursing, and the clinical data were retrospectively analyzed, and the difference of post-operative complications and nursing satisfaction rate of the two groups were compared. Results: Compared with the control group, the incidence of post-operative complications was significantly lower in the observation group, and nursing quality satisfaction rate was higher, there was significant difference between the two groups (p < 0.05). Conclusion: Quality of operation room nursing care reduces complications of laparoscopic colorectal cancer resection, improve quality of care, reduce patient’s pain, and it is worth to be promoted in operation room nursing work in the future
Clinical Treatment and Analysis of 58 Cases of Chronic Suppurative Otitis Media
Get PDFObjective: Analyzing cause of disease and clinical performance of clinical patients with chronic suppuratie otitis media, as well as discuss the effective surgical treatment methods and post-operative nursing prevention. Methods: 58 cases of chronic suppurative otitis media patients, clinical data and follow-up results were retrospectively analyzed during March 2008 to July 2011 in our hospital, in order to investigate the treatment effect of the operation. Results: 58 cases (60 ears) patients were indicated the procedure, including 33 ears open vesssed dash forward line, and 17 ears did close type papilloma wildly improved, and 10 ears did for drum sinus and attic area open treatment. After 2 years of follow-up observation, fifty-six ears was survived, with the survival rate of 93.3%, and second perforated eardrums happened in 4 ears, accounted for 6.7%. After eight months, There were 31 ears with hearing improvement of 10‒15 dB (accounting for 51.7%), 22 ears with hearing improvement of 15‒30 dB (accounting for 36.7%), 3 ears with no hearing improvement (accounting for 5.0%), 4 ears with mild hearing loss (accounting for 6.7%); total effective rate of hearing improvement was 88.3%, and hearing ability has improved significantly statistical significance. Conclusion: According to the different patients with the disease choosing appropriate surgical method, it has a great significance to enhance the curative rate, reduce post-operative complications and recrudescent possibility
Clinical Study on Local Application of Lidocaine in Reducing the Rate of Maternal Perineal Incision
Get PDFObjective: To carry out feasibility study and determine the effect of local lidocaine in reducing the rate of maternal perineal incision. Method: A retrospective study of our hospital in January 2010 January 2012, with 80 cases of local application of lidocaine after perineal side cut lying in women and in the same period were randomly selected and 100 cases of conventional guild shade side cut of mother’s surgery as control group. Results: There was no difference between the weight of the newborn and the experimental group at the time of birth. The use of local lidocaine can reduce the rate of maternal perineal incision. Besides, in experimental group it show reduce in maternal postpartum hemorrhage and incision infection, with not increase the incidence of neonatal asphyxia. Conclusion: The use of local lidocaine in reduce the rate of maternal perineal incision is a simple, safe and reliable method to reduce the pain during delivery
Analysis of Nursing Care of Acute Myocardial Infarction
Get PDFObjective: To investigate and improve the clinical nursing care method of acute myocardial infarction. Methods: Make a retrospective analysis of the clinical data for 69 cases of acute myocardial infarction from January 2009 to December 2012 in our hospital and summarize the clinical nursing method. Results: 63 from 69 patients are improved after being rescued and nursed through the above-mentioned method, and improvement rate was 92.0%. 5 patients were died (all of them were died from the heart failure), which the mortality is 8.0%. Wherein the complicated arrhythmia cases were 24, the complicated cardiogenic shock cases were 12, hospitalization time: 4‒17 days, and the average hospitalization time is 9.2 days. Conclusion: The strengthened nursing cooperation of acute myocardial infarction for patients may enhance clinical improvement rate and improve the prognosis
The Study of the Value of Mean Corpuscular Volume in the Urine Red Blood Cell Phase in the Differential Diagnosis of Hematuria
Get PDFObjective: The changes of urinary red blood cell morphology and the average volume of red blood cell were examined by MCV. Method: In 100 cases of patients with urinary sediment microscopy of hematuria, and used blood cell analyzer for determination for MCV in urinary RBC. Results: Renal hematuria MCV and the outer peripheral blood MCV has significant difference (p < 0.01) and non-renal hematuria and peripheral blood MCV had no significant difference, glomerular hematuria and non-glomerular hematuria erythrocyte deformity was significantly different (p < 0.01), renal hematuria MCV is less than or equal to 73 fL, abnormal red blood cells with 2 or more, deformity rate is more than or equal to 76%. Conclusion: RBC phase combined with MCV detection of urine RBC is the practical value in diagnosis of glomerular hematuria