简介：评估由于长期的心脏的失败为浮肿与中国植物粘住的acupoint的治疗学的效果。

简介：BackgroundHospital-acquiredpneumonia(HAP)isthemostcommonandmostseriousnosocomialinfectionforcardiacsurgerypatients,withhighincidenceandfatalityrate1.ItisimportantforcardiacsurgeonstocorrectlyidentifyHAP,assesstheseverity,andthenadjustanti-infectionmethod,whichcanreducethemortalityrate,shortenhospitalizationtime,andreducethewasteofmedicalresources.ThepurposeofthisresearchistoevaluatetheapplicationvalueoflungCTindiagnosisandtreatmentofHAPaftercardiacsurgery.MethodsAretrospectiveanalysiswasconductedforclinicaldataabout76cardiacsurgerypatientswhowerediagnosedwithHAPduringJanuarytoDecember2013.Theclinicaldatamainlyincludedsymptoms,physicalsigns,laboratoryexaminations(suchasroutinebloodtestsandserumprocalcitonin),andlungCTandX-raydata.OurfocusisonthecomparisonbetweenlungCTandX-raydata.ResultsThepositivediagnosticrate,falsenegativerate,andfalsepositiverateoflungCTwere71/76(93.4%),5/76(6.6%),and1/76(1.3%)respectively.ThecoincidencerateofX-rayandCTwas45/76(59.2%),andthefalsenegativerateofX-raywas23/76(30.3%).ConclusionLungCTisbetterthanX-rayindiagnosisofHAPaftercardiacsurgeryandassessmentofseverity,andhasgreatersignificanceforguidingtherationaluseofantibiotics.Therefore,lungCTisworthyofapplicationandpopularization.

简介：BackgroundPoorwoundhealingorpostoperativeinfectionafteropen-heartsurgeryismostcommonlyseen.Ifnottreatedintimeortheinfectionprogresses,itcanleadtosternalinfection,evenmediastinalandpericardialinfection,causingahighermortalityrate.Vacuumsealingdrainage(VSD)isanewtechnologytopromotewoundhealing.WestudiedtheuseofVSDtechniqueinpoorwoundhealingafterheartvalvesurgerytoseeifitcouldachievegoodtherapeuticefficacy.MethodsFrom2013Octoberto2014OctoberinGuangdongGeneralHospital,86casesoftheapplicationofvacuumsealingdrainagetechniqueinthetreatmentofcardiacnonunionaftervalvereplacementinpatientswithnursingobservation.Thetreatmenttime,deathrateandinfectionrate,etcwerecompared.ResultsWoundhealingtimeof86patientsreceivingvacuumsealingdrainagewas14.6±3.6days,andnopatientdied.Twopatientscamebacktohospitalforrepairduetodehiscenceoftheincisionafterdischarge.ConclusionNursingobservationanddrainagemanagementwerethekeyofVSD.VSDtechniqueisworthytobepopularizedclinically.

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