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非接触式红外线额温枪与水银体温计测量结果比较

目的对比非接触式红外线额温枪与水银体温计测量结果的差异，为临床护理提供借鉴和参考。 方法2014 年6 月3 日－ 6 日同时使用水银体温计及非接触式红外线额温枪测量842 例次患者的腋窝及额头温度，对两种测量结果进行分析。 结果842 例次患者非接触式红外线额温枪测量的平均体温为（36.65±0.29）℃，水银体温计测量的平均体温为（36.55±0.38）℃。两组测量结果呈显著正相关（r=0.520，P ＜ 0.01），数值差异有统计学意义（t=?8.023，P ＜ 0.05）。 结论非接触式红外线额温枪的测量值不准确，对于其可完全替代水银体温计的说法不可取。但两种测温方式均各有优缺点，如何制作出同时兼有传统水银体温计的准确性及红外线体温测量仪的方便快捷的新型体温测量器材是下一步研究的方向。

介绍一种分体式安全负压引流器的研制与使用

家族性甲状腺髓样癌高危儿童甲状腺预防性切除术围手术期护理一例

Characteristic Analysis, Management and Prevention of Patients with Acute Pancreatitis from Earthquake Area

目的:探讨地震灾区急性胰腺炎患者的疾病特征、治疗及预防。方法:回顾性分析“5·12”汶川大地震后一个月内从灾区转送到我科的14例急性胰腺炎患者的临床资料。结果:14例患者中轻症8例,重症6例;发病相关因素主要有:脂肪餐10例、胆囊结石6例、饮酒4例、高脂血症4例,其中合并两种因素者10例;经中西医结合非手术治疗尤其注重对患者的心理治疗和护理后,痊愈12例,好转2例。结论: 地震灾区急性胰腺炎的发生有其不同特征,饮食成为首发因素;心理因素可能影响疾病的发生和发展演变;防治方面应注重对患者的心理治疗和护理。这有助于今后对地震灾区急性胰腺炎的预防和处理。

男性儿童乳腺癌二次手术的护理一例

阵发性交感神经过度兴奋的诊治进展

阵发性交感神经过度兴奋（Paroxysmal sympathetic hyperactivity，PSH）是各种急性弥漫性或多灶性脑部疾病的一种相对常见但通常不能正确识别的并发症。它通常是在某种形式的外部刺激后，反复发作的心动过速、呼吸急促、高血压、大汗、发热等交感反应，并出现肌张力及姿势异常，常易与癫痫疾病混肴。PSH主要依靠临床诊断，若不能早诊断、早治疗，PSH会随时间恶化，并可能导致严重的并发症。尽管目前关于PSH的治疗手段缺乏统一标准，但PSH是可治疗的疾病，减少可能触发发作的任何外部刺激，合理的药物干预可以减轻病情，改善预后。

Expression of CPNE1 in gastric cancer tissues and its relationship with prognosis

Objective To investigate the expression of calcium-dependent phospholipid binding protein 1 (CPNE1) in gastric cancer (GC) and the correlation with prognosis. MethodsThe clinicopathological data of 121 patients who underwent radical gastrectomy in the Department of General Surgery, The 940th Hospital of Joint Logistics Support Force of the People’s Liberation Army from March 2017 to December 2018 were retrospectively collected. The expression of CPNE1 in gastric cancer tissues was detected by immunohistochemical (IHC) staining, and its relationship with prognosis was analyzed. Gastric cancer tissue samples and adjacent tissue samples from 16 patients in the same time were prospectively collected, and the mRNA and protein expressions of CPNE1 were detected by real-time quantitative reverse transcription polymerase chain reaction (RT-qPCR) and western blotting (WB), respectively. Multivariate Cox proportional hazard regression model was used to analyze the prognostic factors of gastric cancer patients. ResultsIHC staining results showed that CPNE1 was mainly expressed in the cell membrane and cytoplasm of gastric epithelial cells, and the color showed different degrees of brown. Among the 121 patients, 70 (57.9%) had high CPNE1 expression and 51 (42.1%) had low CPNE1 expression. The RT-qPCR and WB results of 16 pairs of fresh tissue specimens showed that the expression levels of CPNE1 mRNA and protein in gastric cancer tissues were higher than those in adjacent tissues (gastric cancer tissue vs. adjacent tissue: CPNE1 mRNA 1.451 vs. 1.100, P=0.048; CPNE1, 0.995 vs. 0.521, P=0.001). Multivariate Cox proportional hazards regression analysis showed that high expression of CPNE1 [HR=1.923, 95%CI (1.124, 3.290), P=0.017] was risk factors affecting the prognosis of patients with gastric cancer. ConclusionCPNE1 is highly expressed in gastric cancer tissues and is associated with a poor prognosis in patients, and it may be a potential tumor biomarker.