强化管理树立高校医院良好形象

高等院校的公费医疗制度是在建国初期在全国推行实施的。在多年的实践中，由于医疗卫生事业的蓬勃发展和医疗水平不断提高，确实起到了保障广大师生身体健康，维护学校稳定，推动社会主义教育事业发展的作用。面对日益竞争激烈的医疗市场竞争，高校医院如何将管理科学与自身的实际特点相结合，强化管理，提高管理水平和效率，强化医院内部素质，树立医院良好形象，承担起保障学校师生健康和基本医疗的庄严任务，已经成为摆在医院管理者面前的一项重要课题。

碟脉灵注射液辅助治疗肺心病心力衰竭疗效观察

目的 观察新药碟脉灵注射液治疗肺心病心衰的疗效及不良反应。方法 10 2例病人 ,其中 5 0例采用常规疗法 (持续低流量给氧、抗感染、解痉平喘、强心、利尿 )为对照组 ;5 2例在常规治疗基础上加用碟脉灵注射液 30 m L为治疗组 ;两组疗程均为 7～ 10 d。结果 治疗组和对照组总有效率分别为 92 .3%和 82 % (P <0 .0 1) ,治疗后治疗组全血比粘度、血浆比粘度、纤维蛋白原较对照组均有显著差异 (p <0 .0 1) ,未见不良反应。结论 碟脉灵注射液辅助治疗肺心病心力衰竭疗效确切 ,适于临床推广应用。

RESEARCH OF NUTRITIONAL AND IMMUNE STATUS IN PATIENTS WITH GALLBLADDER CARCINOMA RADICAL CHOLECYSTECTOMY

Objective To inquire the nutritional and immune status in patients with gallbladder carcinoma before and after radical cholecystectomy.Methods The nutritional and immune status in patients with gallbladder carcinoma were assessed in 1 week before surgery, and on 3rd day, 7th day, 14th day and 21st day after operation respectively.Results All of the nutritional parameters but the serum level of iron, TIBC and transfterrin recovered within 3 week after operation. Remarkable decrease of serum IgG, IgA, IgM and C 3, C 4 complement, IL 2, CD 4, CD 4/CD 8 ratio, and the remarkable increase of serum SIL 2R and CD 8( P <0.01) on 3rd day after operation.Conclusion Adequate iron should be supplemented after the radical cholecystectomy for gallbladder carcinoma in the third postoperative week. Radical cholecystectomy with complete resection of the tumor and removal of lymph nodes played the important roles in the recovery of immune function.