west china medical publishers
Keyword
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Keyword "急救" 53 results
  • Clinical Application of Pedicle Screw System in Thoracic and Lumbar Fractures of Patients for Wenchun Earthquake

    目的:探讨后路椎弓根螺钉固定在地震伤胸腰椎骨折中的应用及优点。方法:对19例胸腰椎骨折的地震伤患者行后路椎弓根螺钉内固定术。结果:本组病例的手术时间70~115分钟,平均出血量约280mL,两例病员术中出血超过400mL进行输血,复位椎体前缘高度由术前平均57.5%恢复到术后平均93.6%,后突角由术前平均21°矫正到术后平均3°,术后3~7天转往外地继续治疗,Frankel分级平均提高0.4。结论:后路椎弓根螺钉固定具有省时、节约医疗资源、提高救治效率、减轻患者痛苦的优点,尤其适用于大批伤病员的紧急救治。

    Release date:2016-09-08 10:01 Export PDF Favorites Scan
  • Comparative Study on Preoxygenation for Emergency Tracheal Intubation in Severe Patients

    ObjectiveTo observe the effect of different preoxygenation methods for emergency intubation in severe patients in intensive care unit (ICU). MethodsProspective randomized study was performed in the intensive care unit between June 2013 and January 2014. Forty patients were randomly divided into 4 groups:group A (control group, n=10), group B (bag-valve-mask preoxygenation group, n=10), group C (noninvasive ventilator-mask preoxygenation group, n=10), and group D (invasive ventilator-mask preoxygenation group, n=10). Standardized rapid sequence intubation was performed without preoxygenation in group A; preoxygenation was performed by using a bag-valve-mask rose pulse oxygen saturation (SpO2) to 90% before a rapid sequence intubation in group B; preoxygenation was performed by using noninvasive ventilator through a face mask rose SpO2 to 90% before a rapid sequence intubation in group C; and preoxygenation was performed by using invasive ventilator through a face mask rose SpO2 to 90% before a rapid sequence intubation in group D. We recorded the time when SpO2 was more than or equal to 90% in group B, C, and D, and arterial blood gases and complications were observed. ResultsThere was no significant difference in the basic indexes before preoxygenation among the four groups (P>0.05). The time of the patients in group D and C was significantly lower than that of group B. The arterial oxygen saturation (SaO2) and arterial oxygen partial pressure (PaO2) in the group C and D were higher than those in group B after preoxygenation (P<0.05). After intubation, SpO2 in group B, C and D was significantly higher than that in group A (P<0.05). At the same time, SpO2 in group C and D was higher than that in group B (P<0.05); PaO2 and SaO2 in group C and D were higher than in those in group A and B (P<0.05); SaO2 in group D was higher than that in group B (P<0.05). The incidence of abdominal distension in group D was significantly lower than that of group B and C (P<0.05). ConclusionFor emergency tracheal intubation in critically ill patients in the ICU, preoxygenation is more effective than the rapid sequence intubation without preoxygenation in improving oxygenation indicators. Invasive ventilator-mask preoxygenation efficacy and safety are superior to other methods.

    Release date: Export PDF Favorites Scan
  • 腹主动脉瘤破裂患者的急救及护理对策

    【摘要】 目的 总结对腹主动脉瘤破裂患者的急救措施及护理对策。 方法 回顾分析2004年1月-2008年2月收治的11例腹主动脉瘤破裂患者抢救及护理过程。 结果 6例患者治愈出院,5例死亡,其中术中失血性休克死亡1例,术后消化道大出血及多功能器官衰竭死亡2例,放弃治疗出院后死亡2例,存活率为54.5%。 结论 通过对腹主动脉瘤破裂患者采取及时有效的抢救配合及护理措施,有效地提高了手术的成功率及生存率。

    Release date:2016-09-08 09:51 Export PDF Favorites Scan
  • An Analysis of 4109 Cases in Prehospital Care by ICD10

    摘要:目的: 通过分析地市级急救中心院前急救资料,探讨ICD10疾病分类方法在院前急救中的实用性。 方法 :回顾性分析2007年1~12月份自贡市急救中心出诊的全部有效急救患者的急诊诊断以及随访诊断,使用ICD10编码进行归类,比较疾病性别构成比。 结果 :全年院前急救4109例,排5位的疾病分别为损伤、中毒和外因的某些其他后果(484%)、循环系统疾病(170%)、消化系统疾病(81%)、呼吸系统疾病(64%)、精神和行为障碍(52%),损伤、中毒和外因的某些其他后果、循环系统疾病以及消化系统疾病出诊量男性多于女性(P<005),耳和乳突疾病以及妊娠、分娩和产褥期疾病出诊量女性多于男性(P<005)。 结论 :采用ICD10标准对院前急救病谱分类有进一步探讨的价值。Abstract: Objective: To investigate the value of ICD10 in prehospital care by the analysis of cases in Zigong Urgent Rescue Center. Methods : All cases of prehospital care during the year of 2007 were studied, whose emergency Diagnoses and followup diagnoses were recorded, and they were classified by international classification of diseases 10th revision (ICD10). The gender composition ratio of diseases was analyzed. Results : Four thousand one hundred and nine cases of prehospital care in 2007 were included. Topfive diseases were injury, poisoning and certain other consequences of external causes (484%), diseases of the circulatory system (170%), diseases of the digestive system (81%), diseases of the respiratory system (64%), and mental and behavioral disorders (52%) respectively. The amout of the male prehospital cases was more that of than the female’s in the diseases of injury, poisoning and certain other consequences of external causes, diseases of the circulatory system, diseases of the digestive system (P<005); the amount of the female prehospital cases was more than that of the male’s in the diseases of the ear and mastoid process, pregnancy, childbirth and the puerperium (P<005). Conclusion : Further research on the spectrum of diseases classified by ICD10 is valuable.

    Release date:2016-09-08 10:12 Export PDF Favorites Scan
  • Application effect of situational experiential teaching mode in emergency internship teaching

    Objective To explore the effectiveness of situational experiential teaching mode in emergency internship teaching. Methods Interns from the Department of Emergency, Jiangyou Fifth People’s Hospital from July 2022 to May 2023 were selected as the research subjects. The interns were randomly divided into a trial group and a control group using a random number table method. The trial group adopted a situational experiential teaching mode, while the control group adopted a traditional teaching mode. Theoretical knowledge testing, clinical comprehensive ability assessment, and clinical information feedback were used to evaluate the effectiveness of different teaching methods. Results A total of 90 interns were included, with 45 people in each group, aged 18-23 years old. Both groups consist of 18 clinical medicine students and 27 clinical nursing students. There was no statistically significant difference in academic performance in school between the two groups of interns (P>0.05). The theoretical knowledge test score (92.98±2.71 vs. 85.29±6.24), clinical comprehensive ability assessment score (90.52±2.58 vs. 83.35±5.25) and clinical feedback (44 excellent and 1 fine in the trial group vs. 25 excellent, 5 fine, and 15 poor in the control group) of the trial group were better than those in the control group (P<0.05). Conclusions The situational experiential teaching mode can enhance interns’ learning interest, improve memory effectiveness, help students master theoretical knowledge, and enhance their comprehensive abilities in clinical evaluation and decision-making. It is worth promoting in clinical practice.

    Release date:2024-11-27 02:45 Export PDF Favorites Scan
  • Surgical First Aid of 200 Cases of Closed Abdominal Injury 〖STBZ〗〖WTBX〗WANG Huihong.

    【摘要】 目的 探讨腹部闭合性损伤的外科急救方法。方法 2003年1月—2009年1月收治200例腹部闭合性损伤患者,根据病史、体征、辅助检查等做出诊断后,在确保重要器官血流供应的基础上进行外科手术治疗。结果 治愈187例,治愈率93.5%;死亡13例,9例患者死于多脏器受损引起的出血性休克,2例脾破裂患者因失血过多术中死亡,2例患者因合并颅脑损伤形成脑疝死亡。结论 对于腹部闭合性损伤患者,应快速准确地根据病史、体征、辅助检查等做出诊断,进行积极外科急救治疗。有效控制出血,保证重要器官血液供应,是外科急救能否成功的关键。

    Release date:2016-09-08 09:37 Export PDF Favorites Scan
  • 三氯氢硅中毒群体急救护理

    目的 总结群体患者三氯氢硅中毒的急救护理方法与经验,为类似群体事件的发生与救治提供借鉴与参考。 方法 对2010年9月30例三氯氢硅群体中毒患者的救护措施及效果进行回顾性分析,交流救治及护理技术重点。 结果 30例患者经及时救治和细致护理均痊愈出院,住院时间1~5 d,平均2.7 d。所有患者均未发现、发生肺部感染、气胸、纵隔气肿、多器官功能衰竭等严重并发症。门诊随访或电话了解,未发现异常。 结论 及时的现场救护和正确的救治策略,以及各部门的密切配合,是降低中毒群体整体死亡率的关键。

    Release date:2016-09-08 09:11 Export PDF Favorites Scan
  • Effect of Regional Pediatric Transport Network on Transport and Treatment for Children in Sichuan Province

    ObjectiveTo investigate the effect of pediatric medical transport network on transport and treatment for children in Sichuan province. MethodA total of 4647 pediatric patients transported to West China Second University Hospital were recruited from January 2011 and December 2013 in our study, among whom 1 948 were admitted before the establishment of the transport network (January 2011 to August 2012) and 2 699 were admitted after the establishment of the transport network (September 2012 to December 2013). Transport modes, patient disposition and fatality were analyzed to evaluate the role of transport network in the transport and treatment for pediatric patients. ResultsThe transported patients increased significantly after the establishment of transport network (an average of 97 cases increased to 169 cases per month). After transport network was established, valid communication and telephone contact also increased significantly (the proportion increased from 20.64% to 45.28%, P<0.001). There were significant differences in the composition of patients' destination after the establishment of the transport network (P<0.001). After the establishment of transport network, the patients' hospitalized rate and admission rate increased dramatically (from 17.86% to 37.53%, 12.11% to 41.13%, respectively). The fatality decreased from 6.83% to 3.04% (P<0.001). ConclusionsRegional pediatric transport network will contribute to the treatment of pediatric patients within the region, and decrease fatality.

    Release date: Export PDF Favorites Scan
  • “经验分享”在院前急救管理中的应用

    目的在院前急救护理工作中采用“经验分享”管理,以减少院前急救工作中的护理缺陷。 方法将救护队2012年1月—12月“特殊事件”口头交班法设为对照组,2013年1月-12月在对照组的基础上实施“经验分享”管理法设为观察组,比较两组急救护理缺陷(包括护患沟通障碍、技能缺陷、抢救物品准备缺失、医护配合不良缺陷)发生率。 结果观察组各项护理缺陷发生率(护患沟通障碍0.17%、技能缺陷0.07%、抢救物品准备缺失0.07%、医护配合不良0.13%)均低于对照组(0.49%、0.37%、0.34%、0.56%),差异有统计学意义(P<0.05)。 结论经验分享管理法可有效减少院前急救护理缺陷的发生,值得临床推广应用。

    Release date: Export PDF Favorites Scan
  • 院前急救安全隐患及防范措施分析

    目的:探讨院前急救常见安全隐患的原因。方法:对我科记录在册的4年有关院前急救纠纷24例进行分析总结。结果:院前急救安全隐患主要表现为急救前隐患、现场急救隐患、转运途中安全隐患三个方面。结论:针对原因采取相应的防范措施,提高院前急救质量,最大限度地减少医疗事故的发生,尽量杜绝医疗纠纷。

    Release date:2016-09-08 10:04 Export PDF Favorites Scan
6 pages Previous 1 2 3 ... 6 Next

Format

Content