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The process of diagnosis and nursing of a case with human granulocytic anaplasmosis who was confirmed by etiological diagnosis and molecular biology analysis was analyzed.The matters needing attention in nursing and nosocomial infection control were discussed and analyzed.To avoid misdiagnosis and mistreatment,cross infection,reduce pain and economic burden of the patients,to provide references for future diagnosis and treatment of human granulocytic anaplasmosis.
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OBJECTIVE To determine distribution of pathogens and resistance characteristic in urinary infection and to provide basis for clinicians to select antibiotics correctly.METHODS A total of 272 strains of pathogens were identified and ESBLs-producing G-bacilli were detected.RESULTS Among 272 strains,68.4% of G-bacilli,19.1% of G+cocci,12.5% of fungi,41.1% of Escherichia coli and 18.2% of Klebsiella pneumoniae strains produced ESBLs.CONCLUSIONS G-bacilli are major pathogens of urinary infection and their resistance is raised.Much attention should be paid to resistance detection.It is important to control nosocomial infection and select antibiotics correctly.
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Objective To distinguish diagnostic value of colour ultrasonography in parotid gland masses. Methods With high frequency probe, 10MHz, the colour ultrasonic imaging of 38 cases parotid gland masses were comparatively studied with operation and pathology.Results By the B-ultrasonic and colour doppler flow imaging of parotid gland masses were comprehensive analyzed, the parotid gland masses were diagnosed for the great majority of the cases in preoperation.Conclusions The colour ultrasonography has relatively high value in the differential diagnosis of parotid gland masses.
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Purpose To discuss the main index of the colour ultrasonographic diagnosis of children's left Renal Vein Entrapment Sydrome(LRVES).Methods By colour ultrasonography,urine microscope examination and urine Ca/Cr ratio determination,eighty-two LRVES children were diagnosed and compared with forty healthy children.Observed at supine position whether narrow caused by pressure or the expanding phenomenon of LRV after being pressed,to examine the ratio of the abdominal aorta(AO) left internal diameter(a) to the front internal diameter(b) of LRV,by using CDFI,blood flow rate in the left lateral position of LRV was judged.Simultaneously,the angle(?) between superio mesentery artery(SMA) and AO was detected.Then standing upright for twenty minutes,and determined a/b ratio.Results In the LRVES group,the LRV blood vessels become narrower,a/b was over 3 at supine position,after standing upright for twenty minutes,a/b was over 4;and LRV blood flow rate becomes slower,? angle becomes smaller,compared with the healthy group,there was statistical significance.Conclusions The main indexes of the LRVES of ultrasonographic diagnosis is to observe the a/b ratio of LRV before and after being pressed (lying on the back and standing upright for twenty minutes) and to detecte the blood flow rate of LRV before pressure and judege the angle between SMA and AO.
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OBJECTIVE To explore the risk factors in nosocomial infection of senile dementia patients and the measures of prevention.METHODS On the basis of investigation among 352 senile dementia patients in our hospital from 2001 to 2004 to analyze nosocomial infection.RESULTS The rate of nosocomial infection among 352 senile dementia patients was 37.8%.The infection site was mainly in respiratory tract,secondly in urinary tract.The vital risk factors of nosocomial infection included: old age,the duration of hospitalization,chronic underlying diseases,antibiotic,surroundings of ward,invasive manipulation and psychotic medicine.CONCLUSIONS According to the risk factors of nosocomial infection,it is serious to use effective measures of prevention and to low the rate of among senile dementia patients.