Acute and chronic anemias are frequently seen in patients of ICU.Besides the underlying diseases,anemia can also be induced by the examination and treatment.In this paper,the reasons of iatrogenic anemia were analyzed.On the base of the essential diagnosis and treatment,it is helpful to improve the prognosis of ICU patients by strengthening the administration of blood collection.The risk of iatrogenic anemia could be minimized by making a reasonable project of blood transfusion.

Nosocomial infections take a tremendous impact to patients and curative activities in PICU.The occuring and developing of nosocomial infections are in close relation to the different internal and external environments of the patients.The incidence rate of nosocomial infections can be effectively reduced by the control of environmental factors in timely and reasonably.This paper reviewed the related internal and external environment factors and control measures in PICU nosocomial infections.

Acute liver failure (ALF)in children is life-threatening clinical syndrome.There is an obvious difference between children and adults in the definition of ALF.The etiologies of ALF in children are related to virus infection,inherited metabolic diseases and drug intoxication.But in the infants,the etiological factors are significantly different to the elder children in ALF.The definition and etiology of ALF in children are reviewed in the paper.

This article reports 46 cases of liposarcoma admitted in our hospital from 1962 to 1986. We had discussed the site of the tumor, clinical features, diagnostic evidences, operative treatment and prognosis. Liposarcoma usually occured in the extremities and retroperitonunm. The tunor size depends on its site. The effective treatment is surgical excision. If the tumor in the retroperitonurn is large enough not to be cut by excision, intra-eapsulectomy may be used. Re-resection of postoperative recurrent cases also gained long-term survial.

Most crit call y ill children have severe stress,the metabolic changes are speic fic and com-plex.Enternal nutritio n and early enternal nutrition can maintenance the nutrition metabolism andp rotect the intestinal mucosal bar ier na d digestive fnu ction.It also improve the perufs ion of tissue,regulate the immune, and significantly reduce the infection and the incidence of multiple organ dysfunction syndrome,reduce the occurrence of infection,so as to improve the rp ognosi .It has broad prospects for cliniacl application.Early enteral nutrition is the focus of this ap per,in order to provide some reference for the treatment of critci ally ill chli dren.

Invasive fungal disease( IFD)in children can be life-threatening. Because of no differenti-al clinical manifestations,the early treatment is difficult. In this paper,according to the relevant literatures and clinical practices in recent years,we reviewed the commonly used antifungal drugs and the choices of treat-ment of invasive fungal disease in children.

Objective To discuss the experiences of surgical treatment of hepatic cavernous hemangioma in a peculiar position. Methods We retrospectively analyzed the clinical data of 32 cases of cavernous hemangioma in the central area of the liver. Results All of the hepatic cavernous hemangiomas were resected successfully by extracapsular dissection. Intraoperative hemorrhage volume varied from 50ml to 10000ml, and in 12 patients the amount of blood transfusion was 400ml to 4000ml. 5 cases (15.6%) had postoperative complications, including right pleural effusion(3 cases), bile leakage(1 case), and subdiaphragmatic fluid collection(1 case). The mortality rate was 3.1%(1/32). 26 cases were followed up for a median of(3.09?0.93)yrs, and there was no recurrence of hemangioma. Conclusions Familiarity with the liver anatomy and proficient operative methods are the key get to successful surgical treatment of these hemangiomas and reduce complications. Extracapsular dissection is a safe and effective way to treat hepatic cavernous hemangioma .

ObjectiveTo explore the best therapy for the treatment of membranous Budd-Chiari syndrome.MethodsThe surgical result of 480 cases with membranous Budd-Chiari syndrome was analysed retrospectively.ResultsCases of Kimura′s finger rupture, interventional treatment and membrane resection were followed up, with follow-up rates of 84.62%, 86.55% and 87.37% respectively, with effective rates of 61.4%, 91.7% and 90.4% respectively, recurrence rates of 38.6%, 8.3% and 9.6% respectively. The long-term effect of interventional treatment and resection was significantly better than Kimura′s finger rupture(P

Anti-Infective Agents ; therapeutic use ; Bacterial Infections ; drug therapy ; Child ; Humans

Objective To investigate the indications for interventional therapy of Budd-Chiari syndrome((B-CS)) and surgical treatment after stent failure. Methods A retrospective analysis of the clinical data of 21 patients with mistakes in treatment of B-CS by stent placement in inferior vena cava(IVC).Results (Among) the 21 cases with mistakes, the indications were inappropriately selected in 6 cases, the main hepatic vein was obstructed by the stent in 1 case, dilated accessory veins were occluded in 10 cases, the stent was (displaced) in 3 cases, and the stent failed to unfold in 1 case. Nineteen cases were converted to operation; of these patients, a shunt was performed in 18 cases, and radical excision of diaphragmatic web of IVC was done in 1 case. Operation was successful in all 19 cases. After shunt procedure in the 18 cases, the free portal pressure significantly decreased(P