摘要:目的:優化藥品單劑量調劑,加強信息化管理,優化操作流程。 方法:采用東華軟件:住院藥房管理系統(DTCISIP)和住院藥品調劑系統(DTCISID) 實施。結果:東華軟件成功實現了我院4300病床的藥品單劑量調劑及各部門管理聯網,優化了操作系統及流程,且系統運行穩定。結論:東華軟件進行藥品單劑量調劑,加強了藥品的出入管理,優化了藥品單劑量調劑的操作流程。Abstract: Objective: To improve united dose dispension, enhance the utilization of information technology in management of united dose dispension and optimize clinical human resource. Methods: DONG HUA software, which included DTCISIP system(system for management of medicine for inpatients) and DTCISID system(system for dispension of medicine for in-patients), was used to carry out united dose dispension. Results: United dose dispension of 4300 beds were easy to achieve by using DONG HUA software. The system worked smoothly and received lots of praise. Conclusion: The management of medicine is enhanced and clinical human resource is optimized by using DONG HUA software to carry out united dose dispension
Lower extremity atherosclerotic disease (LEAD) is one of the serious chronic diseases globally. In recent years, medical advancements have led to significant progress in LEAD treatment, yet certain challenges remain. Within the diagnostic and therapeutic process for LEAD, a shift from the traditional open surgical model to an endovascular treatment approach has yielded marked success. However, it is necessary to guard against an oversimplified diagnostic and therapeutic mindset. Personalized diagnosis and treatment should be administered based on the patient’s condition and the nature of the lesions. In real-world practice, there is often a disproportionate emphasis on revascularization procedures, overlooking comprehensive assessment and holistic management. Consequently, a recent trend has emerged, shifting the focus from mere revascularization to integrated, full-process management. This paper provides a comprehensive exposition on preoperative diagnosis and holistic assessment, the rational selection of primary treatment methods and surgical techniques, and the optimization of treatment strategies across the full life cycle, while underscoring the importance of whole-process management. It further explores the implications of this transition and its potential for future development.
Objective To discuss the feasibility and safety of early oral feeding after colorectal cancer resection and early postoperative recovery condition.Methods Between January 2008 and June 2008, 128 patients diagnosed definitely as colorectal cancer were analyzed retrospectively. Fifty-six cases were treated with early oral feeding (EOF group), and 72 cases were treated with traditional feeding (TF group). The length of postoperative hospital stay, time of first flatus and defecation, and incidences of gastric retention, ileus, severe diarrhea, anastomotic leakage, wound infection, and pulmonary infection were studied and compared. Results The postoperative hospital stay, time of first flatus and defecation in EOF group were apparently shorter than those in TF group (Plt;0.05). As to the incidence of postoperative complications, EOF group had a higher incidence of gastric retention (Plt;0.05), while the differences of incidences of ileus, severe diarrhea, anastomotic leakage, wound infection, and pulmonary infection were not statistically significant between the two groups (Pgt;0.05). Early oral feeding can be tolerated by as much as 89.29% (50/56) patients. Conclusion Early oral feeding after colorectal cancer resection is safe and feasible, and can promote early rehabilitation of patients.
Standardize day surgery can significantly improve hospital medical efficiency, reduce medical costs, and enhance patient satisfaction. In response to the difficulties and operational “bottlenecks” in day surgical management, Zhengzhou Central Hospital affiliated to Zhengzhou University has developed a suitable “centralized management and decentralized admission” day surgical model by referring to and combining existing domestic and foreign day surgical admission models. This article provides a detailed introduction to the management architecture, running process, and extended services of this management model, providing ideas for optimizing the day surgical diagnosis and treatment process and improving medical service efficiency.
ObjectiveTo explore the rescue value of emergency bronchoscopic interventional therapy in patients with malignant airway stenosis and to share the treatment experience. MethodsThe critical patients with malignant airway stenosis who needed urgent bronchoscopic interventional therapy from January, 2007 to January, 2022 in Beijing Tiantan Hospital Affiliated to Capital Medical University were selected. The demographic and clinical data of intra-and-post the operation were collected. The rescue value and safety of emergency bronchoscopic intervention in the critical patients with malignant airway stenosis were evaluated, and the rescue process was summarized. ResultsForty-three patients were enrolled in the study, including 26 males and 17 females, with an average age of (61.6±11.4) years, including 20 cases of primary lung cancer and 23 cases of other malignant tumors; The main type of stenosis was endogenous (26 cases, 61.90%), followed by external pressure (12 cases, 28.57%) and mixed (4 cases, 9.52%) type. The stenosis site was almost the central airway (41 cases, 95.35%), and the main anesthesia method was general anesthesia (37 cases, 86.05%); Emergency bronchoscopic interventional therapy included local resection in 27 cases (62.79%), stent implantation in 12 cases (27.91%), exploration in 2 cases (4.65%), tumor biopsy in 1 case (2.33%), and adjustment of stent position in 1 case (2.33%); The dyspnea score and the degree of airway stenosis decreased significantly after interventional therapy (P<0.01); intraoperative complications occured in 21 cases and bleeding (19 cases) was the commonest one, short term postoperative complications occurred in 3 cases, including respiratory depression, glottic edema and airway spasm, respectively. ConclusionsEmergency bronchoscopic interventional therapy can quickly and effectively alleviate the severe airway obstruction caused by malignant tumor, and win time for the follow-up comprehensive treatment of tumor, but it needs close team cooperation and standardized rescue process.
