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        west china medical publishers
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        find Keyword "感染" 1041 results
        • Correct Selection of Surgical Drainage

          外科引流是指將存在于體腔內、器官或組織內的積存液體,包括血液、膿液、炎癥滲液、消化道滲漏液等引出體外或改道流至體內別處,目的是有效預防或治療這些液體對組織的壓迫或消化作用,減少炎癥的發生或對機體的損害,從而避免組織壞死等嚴重后果,故正確使用外科引流可以預防這些并發癥的發生和擴散; 相反,不必要的或不正確的引流反而會增加感染的機會和其他并發癥的發生,因而在對外科疾病和引流原理深刻認識的基礎上,選擇適宜的引流時機,運用正確的引流方法,才能充分發揮引流的作用。所以說,引流是外科工作中最常用、最重要的基本技能之一,正確掌握和運用這項技術是每位臨床外科醫生必須具備的能力。.................

          Release date:2016-09-08 10:57 Export PDF Favorites Scan
        • 臨床肺部感染評分評估呼吸機相關性肺炎預后的研究

          目的 探討臨床肺部感染評分( CPIS) 對呼吸機相關性肺炎( VAP) 患者早期病情演變及預后評估的價值。方法 將42 例符合納入標準的VAP 患者根據其預后分為存活組和死亡組, 采用方差分析及獨立t 檢驗, 對兩組患者的一般情況, VAP 起病前、起病后1 d 及5 d 的CPIS 分值進行分析比較。結果 42 例患者中, 存活18 例, 死亡24 例, 死亡率57. 14% 。存活組平均年齡明顯低于死亡組[ ( 43. 0 ±14. 58) 歲比( 64. 75 ±14. 19) 歲, P lt; 0. 001] 。兩組患者的平均機械通氣時間均gt;10 d。存活組CPIS 分值在VAP 起病后1 d 較起病前明顯升高[ ( 5. 78 ±0. 94) 分比( 3. 0 ±1. 81) 分,P lt;0. 001] , 起病后5 d 則明顯下降[ ( 3. 72 ±1. 36) 分, P lt; 0. 001] ; 死亡組CPIS 分值在VAP 起病后1 d較起病前也有明顯升高[ ( 6. 41 ±1. 21) 分比( 3. 75 ±1. 67) 分, P lt;0. 001] , 但起病后5 d 仍維持于較高水平[ ( 7. 08 ±1. 10) 分] 。結論 CPIS 評分在評估VAP患者病情及預后上有一定臨床價值。

          Release date:2016-09-13 04:07 Export PDF Favorites Scan
        • Hepatitis B Infection Analysis of Patients from Town and Countryside in Qiqihar

          摘要:目的:分析本院住院城鎮及農村患者的乙型肝炎病毒感染及免疫情況,推測不同區域發病及免疫狀況,為免疫預防及臨床提供參考。方法:收集我科2000年度,2004年度,2008年度住院患者的乙肝五項檢測報告,按患者長期居住地分為農村組及城鎮組,對比分析兩組患者乙型肝炎病毒感染、具有免疫力及無免疫力年度變化情況及不同組別的差異。結果:同農村組相比,城鎮組乙型肝炎病毒感染率、無免疫率低于農村組,免疫率高于農村組。年度對比乙型肝炎病毒感染率及免疫率呈上升趨勢,無免疫率呈下降趨勢。結論:近年來乙型病毒性肝炎發病有上升趨勢,農村地區免疫普及率相對較低,仍為發病及預防免疫的重點區域,應給予足夠重視。Abstract: Objective: To observe the disposition of infection and immunifaction on type B hepatitis in patients from hospital, suppose the disposition of infection and immunifaction in differently region, and provide information for immunifaction and clinical treatment. Methods: Reports of type B hepatitis from patients in hospital were collected, and were divided into town group and country group according to the habitation of patients. The difference of infection, immunifaction and no immunifaction were compared between two groups. Results: In comparison with the country group, the percentage of infection and no immunifaction was lower in town, and immunifaction was higher, attack rate of type B hepatitis had a tendency to increasing and no immunifaction was decreased by contrasting with annum. Conclusion: Recent years, attack rate of type B hepatitis has a tendency to increasing, and the popular rate of immunifaction is lower in country, so country is still the focal point of immunifaction and infection, and sufficient attention must be paid.

          Release date:2016-08-26 03:57 Export PDF Favorites Scan
        • Pathogenesis of Immune Dysfunction in Surgical Infection

          Release date:2016-09-08 10:50 Export PDF Favorites Scan
        • 丙型病毒性肝炎相關性冷球蛋白血癥二例

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        • Analysis of Hospital Infection Control of the HighRisk Group to Influenza A (H1N1)

          摘要:目的: 探討傳染病醫院工作人員對甲型H1N1流感醫院感染控制知識的認知程度。 方法 :選擇救治甲型H1N1流感期間傳染病醫院不同崗位工作人員進行無記名自填式調查問卷。 結果 :全院對甲型H1N1流感醫院感染控制認知總體情況良好,認知的薄弱環節是對防護措施,尤其是一級防護和三級防護的認知;不同工作崗位的工作人員對甲型H1N1流感醫院感染控制認知程度不同,與甲型H1N1流感有接觸的工作人員認知度高于其他工作人員,中高級職稱、高年齡段(35歲以上)的醫務人員認知度高于初級職稱及低年齡段(35歲以下)的醫務人員。 結論 :針對薄弱環節,進一步加強全員醫院感染控制知識、技能的培訓考核。Abstract: Objective: To explore the knowledge about the Influenza A (H1N1) of Chengdu Hospital for Infectious Diseases ‘s staff. Methods : Different medical staff of the infectious Disease Hospital during the influenza A (H1N1) treatment in Chinese mainland was selected to fill in anonymous questionnaire. Results : The awareness of the hospital is well about the hospital infection control to Influenza A (H1N1). Preventive measure is weak, especially about the primary barriers and the third barriers. The different position awareness is different. The staff who is in touch with Influenza A (H1N1) is more awareness than the others, the senior and intermediate title is more awareness than the Junior Title, the high ages group(over 35 ages) is more awareness than the low ages group (under 35 ages). Conclusion : For the weak link, further strengthens the entire hospital infection control knowledge, skills training and examination.

          Release date:2016-09-08 10:12 Export PDF Favorites Scan
        • EXPERIMENTAL STUDY OF CHITOSAN FOR PREVENTION OF BONE INFECTION

          Abstract In order to study the influence of chitosan on bone infection, 27 New-Zealand rabbits were randomly divided into 3 groups. According to the Norden technique, the model of osteomyelitis of the tuberosity of tibia was produced experimentally by injection of staphylococcus aureus.Immediately following injection of the staphylococci, the chitosan gel, acetic acid solution and sterile distilled water were injected into the bones in the 3 groups respectively. The latter two groups were served as control. The severity of the infection was evaluated by clinical symptoms and signs, radiographicdata as well as the bone culture and bacterial counts. Compared the results from chitosan with the other two controls, it was found that the local injection ofchitosan could not reduce the incidence of bone infection, however, it could provide actual improvement when other data were concerned. The effects of chitosangel might be attributed to its bacteriostatic and immunological activity as well as its slow degradation in the body.

          Release date:2016-09-01 11:10 Export PDF Favorites Scan
        • Importance of Surgical Abdominal Infection

          Release date:2016-09-08 10:50 Export PDF Favorites Scan
        • Clinical Comparative Study of Tension-Free Herniorrhaphy with Different Suture

          目的 觀察運用兩種不同縫線固定修補材料對疝修補術后的復發、切口感染、慢性疼痛等并發癥發生情況。方法 對2008年4月至2010年4月期間筆者所在科室收治的250例腹股溝疝患者行無張力疝修補手術時,采用多股絲線或可吸收合成縫線固定修補材料進行前瞻性對比研究。結果 2組患者術后疝復發、切口感染和切口疼痛(包括慢性疼痛)發生率間的差異均無統計學意義(P>0.05)。結論 腹股溝疝無張力修補術后的復發、切口感染、慢性疼痛等并發癥的發生與縫線選擇無關。術者的操作技巧、嚴格的無菌操作原則、徹底止血以及組織損傷小才是防止術后感染、慢性疼痛等并發癥發生的重要因素。

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        • RISK FACTORS OF PANCREATIC AND PERIPANCREATIC SEPTIC NECROSIS IN ACUTE PANCREATITIS

          A review of patients with acute pancreatitis treated in this hospital in recent 10 years was made.To determine the risk factors of septic necrosis in and around the pancreas,32 cases with septic necrosis which were proved in surgical operation and 44 cases without septic necrosis(as control)were included in this study.The possible factors were comparatively analysed.The results showed that septic necrosis in and around the pancreas obviously related to the diagnostic or therapeutic punctures,early surgical drainage and paralytic ileus(OR 302-548,P<005),but there were no associations with age,etiology,shock,respiratory failure and total parenteral nutrition(OR 078-126,P>005).The authers suggest that either pancreatic,peripancreatic puncture or early surgical drainage should be limited and any medication which makes paralytic ileus deteriorated such as atropine should be avoided in the treatment of acute pancreatitis.

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