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健之素气溶胶喷雾空气消毒在重危病室的应用 被引量:7
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作者 田小莉 杜军丽 蔡艳丽 《中华医院感染学杂志》 CAS CSCD 2002年第12期916-916,共1页
目的 探讨健之素气溶胶喷雾法对空气的消毒效果。方法 采用三氯异氰脲酸的复方制剂 健之素配制成消毒液 ,经电动气溶胶喷雾器喷雾后 ,对病室空气进行消毒。结果 消毒后效果显著 ,细菌杀灭率可达 90 % ,病室无明显异味。结论 健之... 目的 探讨健之素气溶胶喷雾法对空气的消毒效果。方法 采用三氯异氰脲酸的复方制剂 健之素配制成消毒液 ,经电动气溶胶喷雾器喷雾后 ,对病室空气进行消毒。结果 消毒后效果显著 ,细菌杀灭率可达 90 % ,病室无明显异味。结论 健之素气溶胶喷雾空气消毒是一种安全、有效的空气消毒方法 ,适用于重危病室的消毒。 展开更多
关键词 健之素 气溶胶喷雾 气溶胶喷雾 重危病 空气消毒 消毒效果
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介绍一种评估外科重危病人预后的方法:APACHEⅡ评分系统 被引量:4
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作者 张延龄 《国外医学(外科学分册)》 北大核心 1991年第3期136-138,共3页
APACHE II评分系统是一个新内容,国外已开展多年,它对疾病严重程度的分类、预测手术危机、临床随访和科研均有很大帮助。
关键词 外科重危病 预后
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TPN在外科重危病人和外科术后严重并发症治疗中的应用
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作者 李光新 阮长乐 +2 位作者 于振海 张曙光 田虎 《肠外与肠内营养》 CAS 1996年第2期72-73,共2页
本文报告5例外科重症病人和55例外科术后严重并发症病人,应用TPN支持治疗的临床效果。本组病例中男49例,女11例,年龄在16~72岁,平均44.5岁。经中心静脉全肠外营养(CV-TPN)3例,经周围静脉全肠外营养(... 本文报告5例外科重症病人和55例外科术后严重并发症病人,应用TPN支持治疗的临床效果。本组病例中男49例,女11例,年龄在16~72岁,平均44.5岁。经中心静脉全肠外营养(CV-TPN)3例,经周围静脉全肠外营养(PV-TPN)28例;营养支持时间... 展开更多
关键词 术后并发症 TPN 外科重危病 治疗 应用
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日间延长的静脉-静脉血液滤过抢救重危病患者41例体会
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作者 王旭翔 郭晶 +1 位作者 胡日红 陆晓艳 《现代实用医学》 2004年第8期483-484,共2页
目的 探讨日间延长的静脉 静脉血液滤过 (EVVHF)抢救重危病人的疗效。 方法  4 1例行EVVHF的重危病人 ,行透析前后生化指标、APACHEⅡ评分和临床转归等评定 ,5例同时测定透析前后的血清肿瘤坏死因子α(TNF α)、白细胞介素 6 (IL 6 ... 目的 探讨日间延长的静脉 静脉血液滤过 (EVVHF)抢救重危病人的疗效。 方法  4 1例行EVVHF的重危病人 ,行透析前后生化指标、APACHEⅡ评分和临床转归等评定 ,5例同时测定透析前后的血清肿瘤坏死因子α(TNF α)、白细胞介素 6 (IL 6 )浓度和超滤液TNF α、IL 6浓度。EVVHF治疗时间为每天 8h或以上 ,使用FH6 6D血滤器。 结果 患者透析前的水电解质酸碱失衡在透析后基本纠正 ,透析前APACHEⅡ评分为 18.34± 7.6 5 ,透析后为 12 .6 5± 5 .71,P <0 .0 5。 16例患者好转 ,过度到维持性血透 ;6例肾功能恢复正常 ,脱离透析 ;19例死亡 ,其中 8例系自动放弃治疗。 5例血清TNF α、IL 6在透析后 6h有显著下降。 结论 EVVHF抢救重危病人有确切疗效 ,纠正水电解质酸碱的失衡 ,能有效清除炎性介质TNF α、IL 6。 展开更多
关键词 重危病 血液透析滤过 白细胞介素6 肿瘤坏死因子
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重危病人低磷血症的临床分析
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作者 焦塑 《中华今日医学杂志》 2004年第5期53-54,共2页
低磷血症(<0.96mmoL/L)是多器官多系统受累的综合征,严重时可危及生命。由于其临床症状常被原发病所混淆或掩盖,难以被临床医生及时发现。现将我院近年来诊治的12例低磷血症病例的临床特点分析如下。
关键词 重危病 低磷血症 临床表现 诊断 并发症
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中枢神经监测在重危病人监护方面的进展
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《吉林医学情报》 1989年第3期4-5,共2页
关键词 重危病 中枢神经监测 监护
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犬病重危症的诊断 被引量:1
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作者 张家峥 刘小燕 +1 位作者 张清洁 易延彬 《河南畜牧兽医》 2000年第10期27-28,共2页
关键词 诊断 观察
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重危患家属心理护理探讨
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作者 门丽君 刘玉丰 《吉林医学信息》 1999年第8期36-37,共2页
关键词 家属 重危病 心理护理
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甲硝唑磺胺嘧啶银治疗褥疮疗效观察
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作者 王荣华 王瑞霞 《菏泽医学专科学校学报》 1998年第2期92-92,共1页
关键词 磺胺嘧啶银 疗效观察 褥疮 治疗 甲硝唑 肺源性心脏 心力衰竭 清洗创面 疗效显著 重危病 脑血管 入院前 甲硝哇
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Impact of disease severity on gastric residual volume in critical patients 被引量:8
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作者 Chien-Wei Hsu Shu-Fen Sun +4 位作者 David Lin Lee Shoa-Lin Lin Kam-Fai Wong Hsiu-Hua Huang Hung-Ju Li 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第15期2007-2012,共6页
AIM: To investigate whether illness severity has an impact on gastric residual volume (GRV) in medical critically ill patients. METHODS: Medical intensive care unit (ICU) patients requiring nasogastric feeding were en... AIM: To investigate whether illness severity has an impact on gastric residual volume (GRV) in medical critically ill patients. METHODS: Medical intensive care unit (ICU) patients requiring nasogastric feeding were enrolled. Sequential Organ Failure Assessment (SOFA) score was assessed immediately preceding the start of the study. Acute Physiology and Chronic Health Evaluation (APACHE) Ⅱ scores were recorded on the first, fourth, seventh, and fourteenth day of the study period. GRV was measured every 4 h during enteral feeding. The relationship be-tween mean daily GRV and SOFA scores and the correlation between mean daily GRV and mean APACHE Ⅱ score of all patients were evaluated and compared. RESULTS: Of the 61 patients, 43 patients were survivors and 18 patients were non-survivors. The mean daily GRV increased as SOFA scores increased (P < 0.001, analysis of variance). Mean APACHE Ⅱ scores of all patients correlated with mean daily GRV (P = 0.011, Pearson correlation) during the study period. Patients with decreasing GRV in the first 2 d had better survival than patients without decreasing GRV (P = 0.017, log rank test). CONCLUSION: GRV is higher in more severely ill medical ICU patients. Patients with decreasing GRV had lower ICU mortality than patients without decreasing GRV. 展开更多
关键词 Critical care OUTCOME Residual volume Severity of illness index Tube feeding
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重危外科患者行肠道要素膳治疗的体会 被引量:1
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作者 杨秋云 《实用护理杂志》 1997年第8期438-438,共1页
重危外科患者行肠道要素膳治疗的体会山东省济宁市第一人民医院(272111)杨秋云要素膳饮食含有人体所需要的营养素,合乎生理营养标准要求,术后病人在具有肠道吸收功能的情况下,积极开展和推广肠内营养支持疗法(EN)是保证... 重危外科患者行肠道要素膳治疗的体会山东省济宁市第一人民医院(272111)杨秋云要素膳饮食含有人体所需要的营养素,合乎生理营养标准要求,术后病人在具有肠道吸收功能的情况下,积极开展和推广肠内营养支持疗法(EN)是保证手术成功必不可少的重要因素。199... 展开更多
关键词 外科 肠道要素膳
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Early mobilization implementation for critical ill patients:A cross-sectional multi-center survey about knowledge,attitudes,and perceptions of critical care nurses 被引量:2
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作者 Hui Zhang Huaping Liu +6 位作者 Zunzhu Li Qi Li Xiaoyan Chu Xinyi Zhou Binglu Wang Yiqian Lyu Frances Lin 《International Journal of Nursing Sciences》 CSCD 2022年第1期49-55,I0003,共8页
Objective To explore critical care clinicians’knowledge,attitudes and perceptions toward early mobilization of critically ill patients in ICUs.Design A cross-sectional national survey was conducted.From January to Au... Objective To explore critical care clinicians’knowledge,attitudes and perceptions toward early mobilization of critically ill patients in ICUs.Design A cross-sectional national survey was conducted.From January to August 2020,ICU nurses in 11 hospitals were surveyed by using a questionnaire on the knowledge,attitudes and perceptions of ICU early mobilization.Results Totally 512 nurses completed the questionnaire.The respondents’mean score for knowledge of early mobilization was 6.89±2.91.The level of knowledge was good in 2.5%(13/512),fair in 52.3%(268/512).The attitudes toward early mobilization were positive in 31.4%(161/512).In terms of perceived implementation of ICU early mobilization,42.9%(220/512)of nurses did not believe that this should be a top priority in intensive care.The attitudes of nurses from different ICUs were significantly different(F=3.58,P<0.05).The knowledge(7.34±2.78 vs.6.49±2.97,t=3.37,P<0.001)and attitudes(3.82±0.58 vs.3.52±0.56,t=5.63,P<0.001)of nurses who had early mobilization related training were higher than those of nurses who had no training.Conclusions The importance of early ICU early mobilization is increasingly recognized by critical care providers.However,there is still a gap in the knowledge,attitudes and perceptions of ICU early mobilization among nurses.In future studies,it is necessary to further systematically identify the reasons leading to the gaps in these aspects and implement targeted interventions around these gaps.Meanwhile,more nurses should be encouraged to participate in decision-making to ensure the efficient and quality implementation of ICU early mobilization practices. 展开更多
关键词 Attitude Barriers Critical illness Early ambulation Intensive care units KNOWLEDGE Nurses Perception
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Nurses’perception on competency requirement and training demand for intensive care nurses 被引量:4
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作者 Yeray Gabriel Santana-Padilla María Desamparados Bernat-Adell Luciano Santana-Cabrera 《International Journal of Nursing Sciences》 CSCD 2022年第3期350-356,I0004,共8页
Objectives Various authors have explored the combination of competencies necessary for ensuring safe and quality care carried out by nurses in Intensive Care Units(ICUs).Nurses’perception of training is an element th... Objectives Various authors have explored the combination of competencies necessary for ensuring safe and quality care carried out by nurses in Intensive Care Units(ICUs).Nurses’perception of training is an element that must be studied in order to adopt appropriate educational measures.This study aimed to evaluate nurses’perception of the importance of intensive care training in Spain.Methods A descriptive,cross-sectional,multicentre study was conducted on a national level in Spain.Totally 85 ICUs took part in the study.The questionnaire used was developed using the Delphi method and had 66 items to investigate nurses’perception on competency requirements and training needs.The evaluation was conducted by a 10-point Likert scale.Results The sample was 568 Spanish nurses.Significant differences were found on an academic level,in terms of gender and hospital type,and in the professional experience of the nurse when it comes to evaluating the different training items;the differences in overall questionnaire scores among these groups were statistically significant(P<0.05).The nurses analyzed believe that previous training and professional experience in other care services are necessary before starting work in an ICU.Conclusion Implementation of training programs tailored to the needs of critical nurses had benefits for nurses and the health system.Nurses benefited from training focused on the skills and knowledge of each moment of their working life.Nurses have a different evaluation of their training needs throughout their professional cycle.Therefore,their training must be adapted to the professional stage of each nurse. 展开更多
关键词 Competency-based education Critical care nursing Nursing education Nursing staff Staff development Surveys and questionnaires
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Relationship between negative emotions and perceived support among parents of hospitalized,critically ill children
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作者 Brad E.Phillips Laurie A.Theeke Katie M.Sarosi 《International Journal of Nursing Sciences》 CSCD 2021年第1期15-21,I0001,共8页
Objectives:The purpose of this study was to describe relationships between negative emotions and perceived emotional support in parents of children admitted to the pediatric intensive care unit(PICU).Methods:This cros... Objectives:The purpose of this study was to describe relationships between negative emotions and perceived emotional support in parents of children admitted to the pediatric intensive care unit(PICU).Methods:This cross-sectional descriptive study conducted face-to-face interviews between January 2019 and January 2020.Study variables included depression(PHQ-9 Scale),anxiety(Emotional Distress-Anxiety-Short Form 8a),anger(Emotional Distress-Anger-Short Form 5a),fear(Fear-Affect Computerized Adaptive Test),somatic fear(Fear-Somatic Arousal-Fixed Form),loneliness(Revised 20-item UCLA Loneliness Scale),and perceived emotional support(Emotional Support-Fixed Form).Results:Eighty parents reported symptoms of depression 8.00(4.00,13.75),anxiety(23.43±7.80),anger(13.40±5.46),fear(72.81±27.26),somatic fear 9.00(6.00,12.75),loneliness(39.35±12.00),and low perceived emotional support(32.14±8.06).Parents who were young,single,low-income,and with limited-post secondary education reported greater loneliness and lower perceived emotional support.Fear correlated with depression(r=0.737,P<0.01)and anxiety(r=0.900,P<0.01).Inverse relationships were discovered between perceived emotional support and loneliness(r=-0.767,P<0.01),anger(r=-0.401,P<0.01),and depression(r=-0.334,P<0.01).Conclusions:The cluster of negative emotions identified will serve as potential targets for future interventions designed to enhance support for parents of critically ill children. 展开更多
关键词 CHILD Critical illness Emotional support Negative emotions PARENTS Psychological state
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Clinical characteristics of critical patients with pandemic influenza A(H1N1) virus infection in Chengdu,China 被引量:4
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作者 Li-hui DENG1,2,Yi-lan ZENG3,Ping FENG1,Ya-ling LIU3,Li-chun WANG1,2,Yun BAI3,Hong TANG1,2(1Center of Infectious Diseases,West China Hospital of Sichuan University,Chengdu 610041,China)(2Division of Infectious Diseases,State Key Laboratory of Biotherapy,Sichuan University,Chengdu 610041,China)(3Chengdu Infectious Disease Hospital,Chengdu 610041,China) 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2012年第1期49-55,共7页
Objective: The critical illness of pandemic influenza A (H1N1) virus infection may be associated with relatively poor outcomes. The objective of this study is to describe clinical features and factors associated wi... Objective: The critical illness of pandemic influenza A (H1N1) virus infection may be associated with relatively poor outcomes. The objective of this study is to describe clinical features and factors associated with the deaths of critical patients. Methods: Medical records of 26 critical patients with H1N1 infection admitted from Sept. 1 to Dec. 31, 2009, were retrospectively reviewed. Diagnosis was established by real-time reverse transcdptase- polymerase chain reaction (RT-PCR) assay. Results: The mean age of the patients was (40.4+18.4) years and 73.1% of them were male. Clinical manifestations included fever, cough, and sputum production. The laboratory findings included leukocytosis, lymphopenia, C-reaction protein, and lactic dehydrogenase elevation. In this series, 17 subjects survived and 9 died. The parameters between the deaths and survivors were compared, which included acute physiology and chronic health evaluation II (APACHE II) scores (23.8+10.1 vs. 14.3_+6.6, P〈0.05), sequential organ failure assessment (SOFA) scores (13.3_+3.0 vs. 6.6_+3.3, P〈0.05), and multiple organ dysfunction syndrome (MODS) scores (7.4+2.5 vs. 3.3+1.7, P〈0.05). The cases of deaths had higher incidences of cardiovascular failure (100% vs. 41.2%, P〈0.05), renal failure (55.6% vs. 11.7%, P〈0.05), encephalopathy (44.4% vs. 5.9%, P〈0.05), hepatic failure (33.3% vs. 5.9%, P〈0.05), and septic shock (33.3% vs. 17.6%, P〈0.05). Conclusions: The critical patients with H1 N1 infection have high APACHE II, SOFA, and MODS scores, which may be associated with an increased risk of death and complex clinical courses. 展开更多
关键词 Critical illness H1N1 INFECTION Influenza A virus MORTALITY
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Comparative analysis of characteristics and risk factors of traffic injury in aged people from urban and rural areas in Chongqing
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作者 ZHANGLiang ZHOUJi-hong QIUJun ZHANGXiu-zhu YUANDan—feng GAOZhi-ming DAIWei 《Chinese Journal of Traumatology》 CAS 2012年第1期27-31,共5页
:Objective:To study the epidemiologic characteristics of traffic injuries among people over 60 years old in the Nan' an district(urban)and Jiangjin district(rural)of Chongqing,and to discuss the corresponding s... :Objective:To study the epidemiologic characteristics of traffic injuries among people over 60 years old in the Nan' an district(urban)and Jiangjin district(rural)of Chongqing,and to discuss the corresponding strategies for its prevention and cure.Methods:Records of traffic injuries in people over 60 years old registered by the traffic police between 2000 and 2006 in Nan'an district and Jiangjin district were collected in the Database of Road Traffic Accidents and Traffic Injuries.Epidemiologic characteristics of traffic injuries among the aged people were analyzed and compared.Results:Between the year 2000 and 2006,the average annual incidence of traffic injuries and mortality rate in the aged people in Nan' an district were 124.62/100 000 and 13.85/100 000 respectively,higher than that in Jiangjin district(27.49/100 000,7.13/100 000,P〈0.01).However,the mortality rate for the aged people who were involved in traffic injuries in Jiangjin district was 20.60%,higher than that in Nan'an district(10.00%,P〈0.01).Head injury was the primary cause of death.Totally 76.58% of casualties were pedestrians.Over 90% of the traffic accidents occurred in the areas with no traffic signal or traffic control system.Conclusions:The traffic environment is unfavorable to the aged people.It is important to enhance traffic safety consciousness of drivers and the elderly and to strengthen traffic safety system and traffic law,so as to provide a safe road traffic environment for the aged people. 展开更多
关键词 Aged EPIDEMIOLOGY Accidents traffic Risk factors
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