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Abstract

Background: Brucellosis is an infectious disease caused by Brucella spp, which can involve the cardiovascular, digestive, and respiratory systems. Cardiovascular involvement is a rare occurrence, it has an extremely high mortality rate.

Case presentation: A 67-year-old Chinese man presented with thoracic aortic multiple ulcers and partial aneurysm formation that caused symptoms of left waist and left buttock pain. The man was admitted to our hospital due to abdominal aorta pseudoaneurysms 5 years ago. The diagnosis was made by thoracic computed tomography angiography (CTA), previous history, and positive culture of Brucella, and the patient was successfully treated by thoracic aortic covered stent-graft implantation and specifc medical treatment.

Conclusions: People who have a history of contact with cattle and sheep, should beware of the possibility of Brucella infection. If chest and abdominal pain occur, timely medical treatment is recommended, aortic aneurysm, the disease with a high risk of death, can be identifed or excluded by CTA. Early treatment and prevention of disease progression are more benefcial to patients.

Keywords: Brucellosis, Relapse, Thoracic aortic ulcer, Aneurysm

摘 要:目的:将标准化防护流程用于进行心脏直视手术患者中后,对其降低压疮发生率的效果进行探析。方法:本研究一共纳入90例实验对象,均为在蚌埠医学院第一附属医院进行心脏直视手术的患者,实验开展时间2019年10月至2020年08月。按随机法分为对照组与观察组,每组各45例患者,前者实施传统护理干预模式,后者实施标准化防护流程模式,对比两组患者术后不同时间段的压疮发生率。结果:观察组与对照组实施不同护理模式后,前者术后即刻与术后2d、4d压疮发生率2.22%、4.44%、8.89%均明显低于后者13.33%、17.78%、24.44%,前者均显著低于后者(P<0.05)。结论:对进行心脏直视手术的患者应用标准化防护流程模式课后,能获得较为理想的护理效果,对降低患者发生压疮的风险具有非常积极的意义,值得临床应用。

关键词:心脏直视手术,标准化防护流程,压疮

摘 要:偏瘫患者因肌力下降极易发生压疮,而翻身可间歇性减轻身体局部压力的压迫,是临床上最经济、有效的预防压疮的方法,故该文结合近年来护理人员帮助偏瘫患者翻身预防压疮的护理研究,从翻身的方法、翻身角度、翻身间隔时间及翻身辅助用具的使用等角度做出综述,为临床护理人员在有效预防压疮的基础上减轻翻身操作带来的职业性腰背痛提供一定的参考。

关键词:压力性损伤 偏瘫 护理 翻身

【摘 要】 目的 观察脉复生联合杏芎氯化钠注射液治疗下肢动脉硬化闭塞症患者的临床疗效。方法 将 206 例下肢动脉硬化闭塞症患者随机分为治疗组和对照组各 103 例。两组均在常规治疗基础上给予杏芎氯化钠注射液

( 100 mL 静滴,qd) ,治疗组加服用脉复生( 30 mL,bid) ,治疗 15 d 后,观察治疗前后患者创面愈合率、疼痛程度 VAS 评分、血脂水平、血液流变学、患肢经皮氧负压( TcPO2 ) 、踝肱指数( ABI) 的变化。结果 治疗组总有效率为 96. 11% ,显著高于对照组的 77. 1% ( P < 0. 05) ; 治疗组疼痛减轻程度大于对照组( P < 0. 05) ,经皮氧负压高于对照组( P < 0. 05) 。结论 脉复生联合杏芎氯化钠注射液治疗下肢动脉硬化闭塞症患者有显著疗效,有助于减轻患者溃疡疼痛、提高患肢经皮氧分压、促进患肢溃疡愈合。

【关键词】 下肢动脉硬化闭塞症; 脉复生; 杏芎氯化钠注射液; 下肢溃疡; 经皮氧分压 ABI