四妙勇安汤加减治疗下肢动脉硬化闭塞症坏疽58例临床观察

目的:四妙勇安汤加减治疗下肢动脉硬化闭塞症坏疽临床观察。方法:对下肢动脉硬化闭塞症坏疽病患进行分析。结果:治疗组有效率达100%,对照组达65.3%。结论:运用四妙勇安汤加减治疗本病治疗时间缩短,治愈率增高。

泼尼松联合依那西普在坏疽性脓皮症患者中的临床效果观察及安全性研究

目的探讨泼尼松联合依那西普在坏疽性脓皮症患者中的临床效果及安全性。方法选取2014年8月—2017年8月该院收治的坏疽性脓皮症患者80例,采用随机数字法分为对照组(n=40例)和观察组(n=40例)。对照组患者采用泼尼松治疗,观察组采用泼尼松联合依那西普治疗,比较2组治疗效果及不良反应发生情况。结果观察组治疗有效率为82.5%,显著高于对照组的67.5%;观察组患者用药后皮疹、胃肠道反应、乏力、骨质疏松、感染等不良反应发生率为35.0%,显著低于对照组的52.5%。结论泼尼松联合依那西普治疗坏疽性脓皮症治疗效果较好,且不良反应发生率较低,安全有效,值得推广应用。

外周血管支架介入术治疗糖尿病下肢动脉硬化闭塞症合并足坏疽的疗效分析

研究血管支架介入技术治疗慢性糖尿病下肢脑动脉硬化闭塞症及其合并脚趾坏疽病的疗效。方案 将试验研究的内容范围确定为由医院于二零一九年至二零一零年之间所接受过的近三十位患者,他们所被检查出的主要病症为慢性高血压下肢脑动脉硬化闭塞症以及合并性足手坏疽,并分别将上述患者随机分为实验组和对照组,所采用的分类法为随机分析法,而采用常规法的则为对照组,而实验组则使用外周血管支架治疗法,对两组患者的血管内径数值和造影血流值进行治疗前后的详细对比。结论 比较二组病人的毛细血管内径数据与造影血流数据,实验组的患者数据比对照组的数据都要高许多,而通过比较二者的差异,结论更具备统计学价值(P<0.05)。结论 在对糖尿病下肢动脉硬化闭塞症和足坏疽的诊断上,血管支架应用后有了显著的效果,是一种非常值得大面积推广的临床治疗方式。

坏疽性胆囊炎、胆囊结石合并糖尿病1例的观察与护理

目的:探讨坏疽性胆囊炎、胆结石合并糖尿病术后的护理方法。方法:在护理这类患者时既要加强胆囊切除术后的常规护理,同时严密监测血糖、控制血糖,预防并发症的综合护理。结果:患者术后生命体征平稳,未见感染与并发症,切口愈合康复出院。结论:胆结石合并糖尿病术后严格控制血糖、监测血糖是手术成功、患者顺利康复的重要保证。

Acute mechanical bowel obstruction: Clinical presentation, etiology, management and outcome

AIM: To identify and analyze the clinical presentation, management and outcome of patients with acute mechanical bowel obstruction along with the etiology of obstruction and the incidence and causes of bowel ischemia, necrosis, and perforation. METHODS: This is a prospective observational study of all adult patients admitted with acute mechanical bowel obstruction between 2001 and 2002. RESULTS: Of the 150 consecutive patients included in the study, 114 (76%) presented with small bowel and 36 (24%) with large bowel obstruction. Absence of passage of flatus (90%) and/or feces (80.6%) and abdominal distension (65.3%) were the most common symptoms and physical finding, respectively. Adhesions (64.8%), incarcerated hernias (14.8%), and large bowel cancer (13.4%) were the most frequent causes of obstruction. Eighty-eight patients (58.7%) were treated conservatively and 62 (41.3%) were operated (29 on the first day). Bowel ischemia was found in 21 cases (14%), necrosis in 14 (9.3%), and perforation in 8 (5.3%). Hernias, large bowel cancer, and adhesions were the most frequent causes of bowel ischemia (57.2%, 19.1%, 14.3%), necrosis (42.8%, 21.4%, 21.4%), and perforation (50%, 25%, 25%). A significantly higher risk of strangulation was noticed in incarcerated hernias than all the other obstruction causes. CONCLUSION: Absence of passage of flatus and/or feces and abdominal distension are the most common symptoms and physical finding of patients with acute mechanical bowel obstruction, respectively. Adhesions, hernias, and large bowel cancer are the most commoncauses of obstruction, as well as of bowel ischemia, necrosis, and perforation. Although an important proportion of these patients can be nonoperatively treated, a substantial portion requires immediate operation. Great caution should be taken for the treatment of these patients since the incidence of bowel ischemia, necrosis, and perforation is significantly high.

1例类风湿性关节炎合并坏疽性脓皮症的护理

本文报告了1例类风湿性关节炎合并坏疽性脓皮症的护理。患者因“右上肢、左下肢、双侧腋下皮肤红斑,伴破溃,无明显渗出,为求进一步诊治”入院。患者诊断为(1)类风湿性关节炎;(2)坏疽性脓皮症;(3)皮肤感染。中西医药物治疗后予以针对性护理干预,如健康宣教、运动锻炼、皮肤护理、营养支持、疼痛护理、心理护理及出院指导,患者病情显著好转,顺利出院,并需定期随访。