农药白草枯急性中毒的研究进展

本文对近期百草枯急性中毒研究进展进行了综述,从临床角度对百草枯急性中毒的研究进行哲学思考,指出应从以下几个方面开展研究：研究发现有效拮抗剂;进行综合系统的实验研究;建立全国性救治中心;重视救治成功的个案报道;组织多中心、大样本的临床研究;多学科协作。     

急性心肌梗死复杂冠脉病变延迟支架植入治疗策略

目前我国临床实践中,急性心肌梗死的急诊介入治疗几乎均以一次性植入支架为手术终点。然而急性心肌梗死患者常伴有复杂冠脉病变,此类患者一次性植入支架常出现“慢血流”或“无复流”现象,导致心肌微循环灌注障碍,直接影响患者的预后。本文从临床策略的角度出发,探讨此类患者急诊冠脉介入治疗中延迟植入支架治疗的策略及可行性。     

食管癌术后急性肾衰竭的临床分析

为了探讨食管癌术后急性肾衰竭发生的原因及防治经验,回顾性分析13例术后发生急性肾衰竭食管癌患者的临床资料,并总结防治体会。结果显示患者平均年龄67.5岁,体重50.4千克,皆有严重的吞咽梗阻症状,其中8例术前发现低蛋白血症,3例术前有不同程度的肾功能不全;术后3天内出现急性肾衰竭,治疗纠正肾前性病因、利尿和改善肾血流灌...     

Family systems psychiatry in an acute in‐patient setting: the implementation and sustainability 5 years after its introduction

From 2003 to 2008 a multicentre research project, systems therapy methods in acute psychiatry (SYMPA), attempted to establish structured in‐patient treatment based on systemic interventions in German non‐university psychiatric hospitals. Utilising multi‐professional family systems training for team members in six in‐patient wards, its main goal was to improve the involvement of familial and non‐familial important others. This follow‐up study explores the sustainability of family systems psychiatry by evaluating the frequency of the utilisation of four core systemic interventions; elements of a systemic organizational culture in psychiatry; and institutional barriers to this new approach. The degree of implementation was high to moderate, depending on the intervention. More intense communication developed among staff of different professions and the status of nursing staff improved. Organizational barriers to implementation included the ambiguous role of junior doctors in teams, continuously understaffed wards and frequent over‐occupancy.     

重症胰腺炎外科治疗观之辩

分析了当前外科治疗重症胰腺炎（ＳＡＰ）原则仍然不能提高手术后生存率的原因，用辩证法的观点，剖析当代手术治疗ＳＡＰ的误区，提出判断ＳＡＰ手术时机的简易方法和ＳＡＰ开腹手术的基本原则，应该按照辩证法的观点来正确看待ＳＡＰ的手术时机，应该用发展的眼光来分析传统治疗ＳＡＰ的手术方法，不能用一成不变的观点对待传统的手术方式，不能照搬书本教条，不能违背外科手术的基本原则。只有这样才有助于提高外科治疗ＳＡＰ的成功率。