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find Keyword "基层医院" 17 results
  • Application of Humanistic Ideas in High Quality Nursing Service in Grass-root Hospitals

    ObjectiveTo explore the effect of humanistic ideas applied for high quality nursing service in grass-root hospitals. MethodsIn the process of high quality nursing service between January 2011 and December 2013, humanistic philosophy was adopted. We provided humanistic nursing care for the patients, and humanistic management and care for doctors and nurses. Then, we used self-made questionnaire to do survey on the satisfaction degree in 1 200 patients, 500 nurses and 100 doctors in a third-grade class-A hospital. ResultsThrough the application of humanistic management idea, the satisfaction degree of all patients, nurses and doctors was significantly raised. ConclusionHumanistic concept applied in high quality nursing service inspires the enthusiasm and activity of nurses, promotes their nursing mode, and raise the nursing quality, which satisfies all the patients nurses and doctors.

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  • Emergent Percutaneous Transluminal Coronary Angioplasty in 41 Patients with Acute Myocardial Infarction in Elementary Hospital

    摘要:目的:探讨基层医院开展急诊经皮冠状动脉支架植入术(PCI)治疗急性心肌梗死(AMI)的可行性、安全性。方法:回顾分析2002年11月~2009年4月我院41例AMI患者的急诊PCI资料。结果:41例AMI患者,急诊开通梗死相关动脉(IRA)39例(即时成功率95.1%),开通IRA者中术后死亡2例(死亡率4.9%),总成功率90.2%。结论:在有条件的基层医院开展急诊PCI安全有效。Abstract: Objective: To explore the feasibility and safety of primary percutaneous coronary intervention in patients with acute myocardial infarction in elementary hospital. Methods: The clinical data of 41 AMI patients who underwent emergent PCI from November 2002 to April 2009 were retrospectively analyzed. Results: Among the 41 AMI patients referred to PCI, infarctrelated arteries were recanalized in 39 cases. The immediate success rate was 95.1%. 2 cases of them died. The total success rate was 90.2%.Conclusion: Emergent PCI is safe and effective in the hospitals which could carry out PCI.

    Release date:2016-09-08 10:12 Export PDF Favorites Scan
  • The Analysis of the Cause for Prehospital “120”Emergency Medical Services Cases Death

    摘要:目的: 探讨基层医院急诊“120”院前救治水平的影响。 方法 :分析301例死因,年龄及百分比。 结果 :急诊致死原因疾病病谱前9位分别是交通事故,猝死,溺水,意外伤害,自杀,电击伤,刀伤,一氧化碳中毒及呼吸道梗塞,“无名氏”群体86例占285%,这部分给临床和社会带来了新问题,这仍有待今后继续探讨。 结论 :完善基层医院“120”体系,提高救治水平。Abstract: Objective: To explore the factors relate to prehospital“120”Emergency Medical Services cases death. Methods : Analysis the cause for death, ages and percentage of the age in 301 cases. Results : Traffic accident, sudden death, drowns, accident, suicide, electric burn, knife trauma, anthracemia and respiratory tract obstruction were the leading cases in the diseases spectrum of the cause for death in emergency cases. 86 cases were anonym, which brought new problems to clinic treatment and provoked social issue, accounting for 285% in total cases. These remain us to study henceforth. Conclusion : Consummate the “120” Emergency MedicalServices system in grassroots hospital and enhance the level of cure.

    Release date:2016-09-08 10:12 Export PDF Favorites Scan
  • 基层医院院前急救特点及分析

    【摘要】 目的 了解基层医院院前急救的特点,以提高其急救存活率。 方法 对2006年1月-2008年12月2 615例次院前急救患者资料进行回顾分析,总结院前急救的特点,为进一步完善院前急救工作提供参考依据。 结果 外科疾病是院前急救的重点对象且呈逐年上升趋势,其脑外伤、脑血管、骨折、心血管和呼吸系统疾病是院前急救的高发病种,死亡以脑血管疾病最高。 结论 院前急救的重点是脑外伤、骨折和心脑血管疾病患者。重视院前急救工作,提高急救水平,是急救患者获得生命重要保证。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • Questionnaire survey on the knowledge of pulmonary functions in general physicians in Shanghai

    ObjectiveTo know about equipment of pulmonary function tests (PFTs) in community health service centers and the knowledge of pulmonary function in general physicians.MethodsThis questionnaire survey was carried out sponsored by Shanghai Basic Alliance for Respiratory Diseases Prevention and Treatment from June to December in 2016. Most community health service centers in 16 districts of Shanghai participated the survey. The questionnaire included education background, professional qualification, PFTs equipment, and knowledge about PFTs.ResultsThere were 963 general physicians in 131 community health service centers completed the questionnaire. There were 27 (20.6%) community health service centers equipped with simplified pulmonary function test device and 910 (94.5%) physicians knowing PFTs. Out of these 910 physicians, 458 physicians (50.3%) gave the correct answer on question about the items of PFTs. The accuracy of question about the diagnosis of chronic obstructive pulmonary disease (COPD) was 24.0% (218/910).ConclusionsThe rate of community health service centers with equipment on PFTs is low and the knowledge on pulmonary function in general physicians is insufficentt in Shanghai. Training on pulmonary function is essential to adapt the stratified treatment of COPD.

    Release date:2018-03-29 03:32 Export PDF Favorites Scan
  • One-stage Hybrid Surgery for Complex Stanford Type B Aortic Dissection

    ObjectiveTo review clinical techniques and outcomes of one-stage hybrid surgery for complex Stanford type B aortic dissection (AD), and explore the feasibility of this surgery in basic-level hospitals. MethodsSeven patients with complex Stanford type B AD underwent one-stage hybrid surgery from December 2010 to March 2013 in Department of Cardiothoracic Surgery of Xiangyang Central Hospital. There were 2 males and 5 females with a mean age of 50.0±8.3 years. Preoperative computed tomography angiography (CTA)found that the distance between breach and left subclavian artery opening was less than 15 mm in 4 patients, and left subclavian artery root were involved in 3 patients. One patient had several calcification sites of the thoracic aorta and coronary arterial stenosis near the middle segment of anterior descen-ding coronary artery by about 70%. All the patients received general anesthesia and endotracheal intubation. Firstly, bypass surgery of the branches of the aortic arch was performed via neck incision in the operating room, then endovascular aortic repair (EVAR)using femoral artery incision was performed in the catheter room. The patient with coronary artery disease received concomitant stenting of the anterior descending artery. ResultsAll the patients successfully received the operation and EVAR. Postoperatively, 1 patient had mild type Ⅰ endoleaks. No death or severe complication occurred in this group. Intraoperative angiography showed that blood flow in true lumen of AD became normal, all the bypass grafts were unobs-tructed, the positioning of stent grafts was accurate, and no stent displacement was found. All the 7 patients were followed-up for 3-24 (12.0±3.6)months, and all the patients were alive and resumed normal life during follow-up. In 6 patients, CTA at 3 months, 1 year or 2 years after the operation showed no stent graft translocation, endoleak, bypass or graft obstruction. In 1 patient with typeⅠendoleaks, CTA at 3 months after the operation showed contrast agent in the false lumen, but partial thrombosis occurred, the size and scope of false lumen were smaller than preoperative values, and the true lumen significantly became larger. CTA at 6 months after the operation showed that leakage had disappeared. None of the patients had any sign of brain or limb ischemia. ConclusionOne-stage hybrid surgery is safe and effective for the treatment of complex Stanford type B AD, expands the treatment indications of EVAR, and is worthy of widely application in basic-level hospitals.

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  • 肺功能检查在基层医院中的应用价值

    目的:探讨肺功能检查在基层医院的临床应用价值。方法:对我院2005年3月至2008年5月共3216例做肺功能检查的患者临床资料进行分类整理,并对其结果进行分析。结果:呼吸系统疾病患者有409人(占总检查人数的12.7%),其中确诊慢性阻塞性肺疾病(COPD)有302例且均有FEV1.0/FVC%lt;80%或FEV1.0占预计值的百分比lt;80%,小气道功能障碍;拟行胸腹部等外科手术患者有2675人(占总检查人数的83%),其中肺功能良好者1738人(占65%),轻度受损535人(占20%),中度受损267人(占10%),重度受损135人(占5%)。肺功能受损患者术后并发症发病率明显增高;煤工尘肺伤残鉴定132人(占总检查人数的4.1%),肺功能正常者5人(占3.7%),轻度受损66人(占20%),中度受损31人(占24%),重度受损30人(占22.7%)。结论:肺功能检查对呼吸系统疾病尤其是COPD的诊断,对外科手术术前肺功能的评估以及术后肺部并发症预防和对尘肺伤残鉴定有较大的临床应用价值。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • Value of Tension-Free Inguinal Hernioplasty under Local Anaesthesia in Community Hospitals

    目的 探讨局部麻醉(以下简称局麻)腹股沟疝无张力修补术在基层医院的应用价值。方法 分析内蒙古医学院附属人民医院2010年10月至2011年12月期间242例行局麻腹股沟疝修补手术患者的临床资料。结果 除1例因过度紧张而停止手术外,其余手术顺利。平均手术时间50min,所有患者术后0.5~4h (平均2h) 均能下床活动,切口疼痛时间0.5~1d。无一例发生尿潴留;12例患者术后阴囊轻-中度水肿,切口感染1例。全部病例术后观察1~2d出院。门诊随访2~15个月(平均8个月),复发2例。结论 局麻下腹股沟疝无张力修补术安全、疼痛轻微、禁忌证少、复发率及费用低,值得在基层医院推广。

    Release date:2016-09-08 10:38 Export PDF Favorites Scan
  • The primary diagnosis and treatment norms and referral recommendations for abnormal uterine bleeding with ovulatory dysfunction in the gynecological clinic of primary hospitals in western China

    Abnormal uterine bleeding with ovulatory dysfunction (AUB-O) is a common reproductive endocrine disease with complex and variable clinical manifestations. This disease has a long course and large individual differences. Difficulties in diagnosis and treatment and nonstandardized management are common in primary hospitals. In order to improve the diagnosis and treatment efficiency of AUB-O in primary hospitals, the gynecological endocrinologists in western China proposed this primary diagnosis and treatment norms and referral recommendations for gynecological outpatient clinics in primary hospitals, including the key points of diagnosis, hemostasis and cycle adjustment strategies, adjuvant treatment, and the principle of two-way referral. In particular, individualized treatment recommendations were proposed for young adolescents and menopausal transition patients. This recommendations are expected to serve as an important reference for AUB-O diagnosis, treatment and two-way referral of primary hospitals in western China.

    Release date:2020-12-28 09:30 Export PDF Favorites Scan
  • 经尿道前列腺电切术治疗良性前列腺增生

    【摘要】 目的 分析影响经尿道前列腺电切术(transurethral resection of the prostate,TURP)疗效的相关因素,总结提高基层医院TURP水平。 方法 2002年12月—2010年6月,采用TURP治疗良性前列腺增生(benign rpostatic hyperplasis,BPH)患者336例。年龄58~85岁,平均69岁。术前B型超声测定前列腺体积23.3~148.5 mL,平均48.5 mL;国际前列腺症状评分(international prostate symptom score,IPSS)为(28.2±1.6)分。 结果 336例患者手术效果满意,电切时间平均62 min,术后输血15例;无因包膜穿孔或无法控制的出血需开放手术者;发生经尿道前列腺电切综合征先兆1例。术后245例门诊随访1~32个月,IPSS术后(7.2±0.5)分;术后继发尿道口狭窄6例,尿道悬垂部狭窄1例,膀胱颈狭窄4例。 结论 充分认识影响TURP疗效的因素,结合基层医院实际情况,规范TURP操作,提高TURP水平。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
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