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find Author "蒋婷" 7 results
  • 先天性皮肤缺损非手术治疗的护理

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • 分化型甲状腺癌患者术后碘131治疗的不良反应护理

    目的 总结核医学科分化型甲状腺癌术后患者口服碘131(131I)治疗的常见不良反应及处理。 方法 收集2013年7月-2014年6月经131I治疗的分化型甲状腺癌术后患者970例,总结131I治疗过程中出现的不良反应,以及针对各种不良反应给予的相应处理措施。 结果 970例分化型甲状腺癌术后患者均顺利出院,502例出现不良反应,不良反应发生率为5 1.75%。其中头颈部反应258例,消化道反应398例,造血系统反应2例,生殖系统反应1例。在发生不良反应的502例患者中,401例患者出现的不良反应在其出院时均得到有效缓解,53例患者在出院1个月后电话随访中告知不良反应已消失,48例诉症状已逐渐减轻。 结论 131I治疗分化型甲状腺癌可出现一过性的不良反应。对症处理后均可恢复正常。

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  • 甲状腺功能亢进碘131治疗后迟发性放射性甲状腺炎的治疗护理一例

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  • 三磷酸腺苷负荷试验致过敏反应一例

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  • EXPERIMENTAL STUDY ON TISSUE ENGINEERED CARTILAGE COMPLEX THREE-DIMENSIONAL NANO-SCAFFOLD WITH COLLAGEN TYPE II AND HYALURONIC ACID IN VITRO

    Objective To explore the possibility of constructing tissue engineered cartilage complex three-dimensional nano-scaffold with collagen type II and hyaluronic acid (HA) by electrospinning. Methods The three-dimensional porous nano-scaffolds were prepared by electrospinning techniques with collagen type II and HA (8 ∶ 1, W ∶ W), which was dissolved in mixed solvent of 3-trifluoroethanol and water (1 ∶ 1, V ∶ V). The morphology were observed by light microscope and scanning electron microscope (SEM). And the porosity, water absorption rate, contact angle, and degradation rate were detected. Chondrocytes were harvested from 1-week-old Japanese white rabbit, which was disgested by 0.25% trypsin 30 minutes and 1% collagenase overlight. The passage 2 chondrocytes were seeded on the nano-scaffold. The cell adhesion and proliferation were evaluated by cell counting kit 8 (CCK-8). The cell-scaffold composites were cultured for 2 weeks in vitro, and the biological morphology and extracelluar matrix (ECM) secretion were observed by histological analysis. Results The optimal electrospinning condition of nano-scaffold was 10% electrospinning solution concentration, 10 cm receiver distance, 5 mL/ h spinning injection speed. The scaffold had uniform diameter and good porosity through the light microscope and SEM. The diameter was 300-600 nm, and the porosity was 89.5% ± 25.0%. The contact angle was (35.6 ± 3.4)°, and the water absorption was 1 120% ± 34% at 24 hours, which indicated excellent hydrophilicity. The degradation rate was 42.24% ± 1.51% at 48 days. CCK-8 results showed that the adhesive rate of cells with scaffold was 169.14% ± 11.26% at 12 hours, and the cell survival rate was 126.03% ± 4.54% at 7 days. The histological and immunohistochemical staining results showed that the chondrocytes could grow well on the scaffold and secreted ECM. And the similar cartilage lacuma structure could be found at 2 weeks after co-culture, which suggested that hyaline cartilage formed. Conclusion The collage type II and HA complex three-dimensional nano-scaffold has good physicochemical properties and excellent biocompatibility, so it can be used as a tissue engineered cartilage scaffold.

    Release date:2016-08-31 04:05 Export PDF Favorites Scan
  • 正电子发射型计算机断层显像/计算机断层显像检查中的护理配合

    目的 探讨在正电子发射型计算机断层显像/计算机断层显像(PET/CT)检查中护理配合的重要性。 方法 对2012年1月-6月905例行PET/CT检查者的护理流程及操作规范进行分析总结,并就检查中的护理要点及配合方法予以逐一阐述。 结果 903例患者顺利完成检查,2例肿瘤骨转移患者因严重疼痛,肌肉注射杜冷丁后仍不能继续配合检查而中途放弃。 结论 患者、护士、医生的通力协作配合,是完成PET/CT检查并获得高质量影像资料的重要保证。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • Application of laparoscopic hepatectomy in patients with complex hepatolithiasis

    ObjectiveTo explore the effect of laparoscopic hepatectomy in patients with complex hepatolithiasis.MethodsThe clinical data of 31 patients with complex hepatolithiasis treated by laparoscopic hepatectomy in our hospital from January 2015 to September 2019 were retrospectively analyzed, and the effect was followed up.ResultsTwo cases were converted to open surgery, and the remaining 29 cases successfully completed laparoscopic surgery. The operative time of 31 patients was 185–490 min (260±106) min; the intraoperative bleeding volume was 200–1 300 mL (491±225) mL; the time of hepatic blood flow occlusion was 20–45 min (29±18) min; the time of choledochoscopy was 10–50 min (28±15) min. The scope of hepatectomy includes: Ⅱ, Ⅲ, Ⅵ, and Ⅶ in 14 cases, Ⅰ, Ⅱ, Ⅲ,Ⅵ, and Ⅶ in 8 cases, Ⅱ, Ⅲ, Ⅳ, Ⅵ, and Ⅶ in 3 cases, Ⅳ, Ⅴ, and Ⅷ in 3 cases, Ⅱ, Ⅲ, Ⅴ, Ⅵ, Ⅶ, and Ⅷ in 2 cases, Ⅰ, Ⅱ, Ⅲ, Ⅳ, Ⅵ, and Ⅶ in 1 case. The postoperative anal exhaust time was 24–73 h (41.8±15.2) h; postoperative feeding time was 14–23 h, median feeding time was 19 h; postoperative ambulation time was 15–46 h, median ambulation time was 27 h; postoperative drainage tube extraction time was 3–14 d, median drainage tube extraction time was 5 d; postoperative hospitalization time was 6–15 d, median postoperative hospitalization time was 9 d. Twenty-seven patients were followed up for 7 to 63 months, with a median follow-up time of 25 months. The incidence of complications was 19.4% (6/31), according to Claviein classification, there were 2 cases in grade Ⅰ (6.5%), 1 case in grade Ⅱ (3.2%), 3 cases in grade Ⅲa (9.7%).ConclusionLaparoscopic hepatectomy is safe and feasible for the treatment of complex hepatolithiasis, which is performed by a skilled hepatobiliary surgeon.

    Release date:2020-07-01 01:12 Export PDF Favorites Scan
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