急症室护患关系研究现状

本文综述了国内急症室护患关系研究现状,以厘清已有研究脉络为手段,从中发现急症室护患关系影响因素和存在的问题,探索我国研究急症室护患关系问题的新方向及建立急症室良好护患关系的措施,保证急症室护理工作顺利进行和护理质量的提高。从急症室护患关系研究现状表明,影响急症室护患关系的因素主要有患者、护士、客观三方面,当前急症室护患关系存在一定的问题,急症室护患关系亟需改善。

Subacute gastric perforation caused by a left ventricular assist device

This case report describes a rare complication of a left ventricular assist device (LVAD). A patient with ischemic cardiomyopathy had an LVAD placed due to intractable congestive heart failure following a large anterior myocardial infarction. The patient developed chronic bacteremia and multiple septic episodes. A gastric endoscopy revealed perforation of the anterior wall of the stomach by the LVAD. Gastric acid related erosions were present on the metallic surface suggesting prolonged exposure. This is the second case report of this rare complication and the first case report of a subacute course.