Objective To investigate manifestations of chronic obstructive parotitis (COP) under sialoendoscope and to evaluate curative effects of duct dilatation and drug perfusion for COP. Methods Twelve patients with COP were examined by sialoendoscopy. Treatment was performed by duct dilatation and gentamycin perfusion one week later. Results There were 11 cases of sialodochitis (complicated by sialostenosis in 7 cases, including 4 cases of polyps and 2 cases of mucus embolism, and simple sialodochitis in 4 cases) and 1 case of simple sialostenosis. Follow-up for 4 weeks showed that results were excellent in 4 cases, good in 7 cases, and poor in 1 case. Conclusions Sialoendoscopic exploration with dilatation procedure and drug perfusion offers certain short-term curative effects in the management of COP.

Objective To explore the clinical manifestation and therapeutic effect of children's oral mucosa factitious ulcer.It aims to improve the diagnosis and therapy level of such ulcer.Method 36 cases with children's ulcer symptoms and mental attitudes were observed.Tothlcases and were divided into 3 groups.Group 1:Take medicine(Inosine Pill 0.2,Vitamin B6 Pill 10 mg)3 times a day;use EGF spray for some part,together with psyehotherapy for 1 month.Group 2:Adopt orthodontics to correct factitious habit and use psychotherapy.Group 3:Group 1+Group 2.Trackingrandomly for 1 month,3 months,half a year,1 year,check the therapeutic and ulcer healing-up progress by further consultation.Result According to 36 cases,boys are more vulnerable to such disease.They tend to bite cheek,tongue,lips.Ulcer used to happen on tongue brim mucosa,quantity 1～3,size 0.2～1.8 cm,irregular appearance,white keratosis surrounding,priority therapy is to correct factitious habit.15 cases(41.67%)healed,9 cases(25.00%)showed good result,10 cases(27.57%)were efficacious,2 cases(2.78%)ineffective.The thempeutic effect of Group 3 is much better than Group 1 and Group 2.Conclusion The diagnostic importance of such disease is factitious habit.Correct factitious habit and psychotherapy are the important therapeutic methods.This disease can be the oral manifestation of children's Attention Deficit Hyperactivity Disorder.

Objective To improve the living quality of the elderly patients in the hospital, we did a research about service requirements by providing related nursing service. Methods Having investigated the needs of 100 patients at the age from 65 to 92 from January to December in 2015. The patients were particularly nursed, and we compared their living quality and satisfaction after being nursed. Results The rank of the needs are:needs of nursing skills, needs of healthy education, needs of environment, needs of respect, needs of humanistic care and needs of privacy. By comparing the scores of living quality of admission and discharge, we found an obvious difference (P<0. 05). Conclusions The living quality of the elderly patients is low because of poor physical condition and age. Therefore, we took good care of elderly patients by knowing their particular needs and specifically nursed. By doing so, they would be more satisfied with their living quality and the hospital service.

Objective To explore the effect of nursing safety management in drawing blood in outpatient department. Methods A total of 152 cases of patients who had blood taken in outpatient department of Affiliated Hospital of Guangdong Medical University from May 2016 to November 2016 were selected by purposive sampling method, and were divided into control and observation group with 76 cases in each according to the random number table. The control group was given routine outpatient transfusion nursing care. On the basis of that, the observation group strengthened nursing safety management. Patients' satisfaction and the incidence of adverse nursing events were compared between the two groups. Results Patients' satisfaction of observation group was 96.1%, significantly higher than that of the control group (85.5%) with statistical difference (χ2=5.035, P<0.05). There was no occurrence of adverse nursing events in the observation group and 5 cases in the control group, the difference was statistical significant (χ2=62.23, P< 0.05). Conclusions Nursing safety management can effectively improve the outpatient blood drawing patients' nursing satisfaction, and reduce the incidence ofadverse nursing events.

Patients with severe trauma require an extremely timely treatment and transfusion plays an irreplaceable role in the emergency treatment of such patients. An increasing number of evidence-based medicinal evidences and clinical practices suggest that patients with severe traumatic bleeding benefit from early transfusion of low-titer group O whole blood or hemostatic resuscitation with red blood cells, plasma and platelet of a balanced ratio. However, the current domestic mode of blood supply cannot fully meet the requirements of timely and effective blood transfusion for emergency treatment of patients with severe trauma in clinical practice. In order to solve the key problems in blood supply and blood transfusion strategies for emergency treatment of severe trauma, Branch of Clinical Transfusion Medicine of Chinese Medical Association, Group for Trauma Emergency Care and Multiple Injuries of Trauma Branch of Chinese Medical Association, Young Scholar Group of Disaster Medicine Branch of Chinese Medical Association organized domestic experts of blood transfusion medicine and trauma treatment to jointly formulate Chinese expert consensus on blood support mode and blood transfusion strategies for emergency treatment of severe trauma patients ( version 2024). Based on the evidence-based medical evidence and Delphi method of expert consultation and voting, 10 recommendations were put forward from two aspects of blood support mode and transfusion strategies, aiming to provide a reference for transfusion resuscitation in the emergency treatment of severe trauma and further improve the success rate of treatment of patients with severe trauma.