【摘要】 目的 分析總結妊娠合并結核性腦膜炎患者的相關特征及護理經驗。 方法 對2010年1-12月收治的8例妊娠合并結核性腦膜炎患者的相關資料進行回顧性分析，并就疾病特點所采取的有效護理措施進行表述。 結果 6例患者好轉出院繼續治療（均于出院后1周內終止妊娠），1例經搶救后轉院行引產手術，1例因經濟原因自動出院。 結論 應大力普及妊娠期結核性腦膜炎相關知識，重視首發癥狀及腰椎穿刺檢查結果，做到早發現，早診斷，早治療，并采取相應的護理措施，減少并發癥和致死率。【Abstract】 Objective To summarize the characteristics of pregnant women with tuberculous meningitis and the nursing measures for these patients. Methods The clinical data of 8 pregnant patients with tuberculous meningitis diagnosed between January 2010 and December 2010 were retrospectively analyzed. The characteristics of race, admitting diagnosis, basis diseases, premiers symptoms, and course of disease were analyzed, and the nursing measures were summarized. Results Six patients recovered and left the hospital (all had terminationed pregnancy after discharge within one week), one was transferred to another hospital for induction of labor after emergency rescue, one left the hospital for economical reason. Conclusions The propagation of the knowledge of tuberculous meningitis is very important. We should pay more attention to its early symptoms, corning′s puncture examination and give suitable nursing care as soon as possible.
目的 研究美國國立衛生院腦卒中量表（NIHSS）評分、格拉斯哥昏迷評分（GCS）及指數記分法（BI）量表，預測腦梗死患者發病3個月后二便障礙預后的有效性。 方法 采取隊列研究，登記2010年9月－2011年10月入院的腦梗死患者性別、年齡、婚姻、民族、職業，由腦卒中護士全面評定NIHSS評分、GCS評分、BI量表等指標。3個月后回訪患者二便障礙恢復情況。 結果 分析顯示NIHSS評分、GCS評分分值與腦梗死發病后3個月二便障礙恢復相關，BI量表評分分值與腦梗死發病后3個月二便障礙恢復無關。 結論 NIHSS評分、GCS評分分值可以預測腦梗死患者二便障礙恢復情況及預后情況，具有預測有效性。
Objective To discuss the nursing measures for thyroid nodule patients who undergo core-needle biopsy (CNB) guided by ultrasound. Methods We retrospectively analyzed the experiences and main points of nursing for 1 900 thyroid nodule patients who underwent CNB guided by ultrasound between June 2010 and May 2014. Results All the 1 900 patients underwent CNB successfully. The nursing time was between 5 and 15 minutes, averaging (8.0±3.7) minutes. Complications included hematoma in 25 patients (1.3%) and needle syncope reaction in 30 patients (1.6%), which were cured through symptomatic treatment. No complications such as nerve injury, anesthesia accident or death occurred. No medical disputes happened due to specimen errors or loss. The success rate of specimen collection was 98.4% (1 870/1 900), and the diagnostic accuracy was 95.3% (1 812/1 900). Conclusions Ultrasonography-guided CNB is a safe and reliable operation with a high success rate, high diagnosis accuracy and few complications. Being familiar with the process of nursing cooperation and correct disposal and transfer of biopsy specimens are crucial for successful CNB in patients with thyroid nodules.
Objective To investigate the smoking status and factors influencing tobacco dependence among inpatients with respiratory diseases, and analyze the relationship of salivary and plasma nicotine metabolic ratio (NMR) with tobacco dependence and withdrawal symptoms. Methods A cross-sectional study was conducted on eligible patients admitted to the Department of Respiratory and Critical Care Medicine, West China Hospital of Sichuan University, between October 2023 and October 2024. Basic information of enrolled patients was collected and smoking questionnaires were administered. The participants were categorized into current smokers or former smokers based on smoking status. The current smokers were classified into no dependence, mild dependence, moderate dependence, and severe dependence by ICD-10, Chinese guidelines, and FTND. Group differences were analyzed with ANOVA and chi-square test. Tobacco dependence risk factors were identified by univariate/multivariate logistic regression. The smokers were stratified into slow and normal metabolizers based on NMR to analyze its correlation with tobacco dependence and withdrawal symptoms. Results Among 602 enrolled patients, 20.4% initiated smoking before age 18 years, with a mean smoking history of 46.2 pack-years. Family members smoked in 49.3% and friends smoked in 89.5% of cases; primary smoking motivations were conformity, curiosity, and boredom relief. Tobacco dependents had significantly higher rates of family member smoking (P=0.005) and withdrawal symptoms (P<0.001). Logistic regression identified lower education level, absence of pulmonary infection, parental smoking, and higher daily cigarette consumption as significant risk factors for tobacco dependence. NMR was positively correlated with nicotine dependence severity (saliva: rs=0.303, P=0.013; plasma: rs=0.297, P=0.045). Normal metabolizers had a significantly higher prevalence of nicotine dependence than slow metabolizers (saliva: 56.3% vs. 33.3%, P=0.014; plasma: 58.8% vs. 25.0%, P=0.044). Withdrawal symptoms were positively correlated with NMR (rs=0.244, P=0.048), with a higher incidence in normal metabolizers (81.3% vs. 58.8%, P=0.048). Conclusions Lower education level, absence of pulmonary infection, parental smoking, and higher daily cigarette consumption are major risk factors for tobacco dependence. Normal nicotine metabolizers are more likely to exhibit higher levels of tobacco dependence and withdrawal symptoms than slow metabolizers.
Coronavirus disease 2019 that started in Wuhan, Hubei Province in December 2019, has spread rapidly across China. Radiography provides an important basis for clinical diagnosis of coronavirus disease 2019 and plays a crucial role in fighting against the epidemic. In the face of public health emergencies, how to quickly set up a team for accurate prevention and control in the first time and how to carry out radiological examination and diagnosis ina scientific, orderly, safe and efficient manner are the key measures to support the hospital in effectively responding to the epidemic. This paper summarized the innovative management experience of the radiology department of West China Hospital of Sichuan University in the prevention and control of nosocomial infection and discipline construction in the fight against the outbreak of coronavirus disease 2019.