Objective:The aim of this study is to explore pretransplantation MELD score in predicting shortterm survival of patients with endstage liver disease post liver transplantation.Methods:We studied 3 months and 6 months patient survival in 33adult patients who underwent liver transplantation between January 2000 and November 2005 in our hospital.The MELD score pretransplantation was recorded.We shared categories of their MELD score(≤20,21~30,≥30)and compared their survival.In our study,we also compared urine volume(ml/h)of the patients during operation.Results:The total survival rates in 3 month and 6 months after transplantation were respectively 90.1%(30/33)、81.8%(27/33),there were respec-tively100.0%、92.3%(P =0.861)in those patients with a MELD score of lower 20 and 21~30 in 3 monbhs swwival rate,they had no significance.We found only those patients with a MELD score of 30 or higher had a survival that was markedly lower than the rest(P =0.012 and 0.041)in 3 months survival rocte.The urine volume(ml/h)of survival patients whese survival time exceeded 3 months during operation(126.2?118.9m1/h)was obviously higher than the dead ones within 3 months(25.3?22.6ml/h),they were significant(P =0.0001).Conclusions:1 The ability of the pretransplantation MELD score to predict short-term survival of patients with end-stage liver disease post liver transplantation is uncomplerely,because they do not have linear relation and there is a threshold in the MELD score beyond which survival decreases in such a fashion.2 The urine volume(ml/h)during operation can predict the lesion of Kidney from the factors before and during operation.It also correlates to the risk of patients post-transplantation.

Objective:To analyze the possible factors causing pulmonary infection after liver transplantation,and discuss the nurs- ing intervention during perioperation.Method:Clinical data of 52 liver transplantation patients were collected.Risk factors were analyzed using one element t-test analysis and logistic regression analysis.Results.16(30.76%)of 52 patients had pulmonary infection.The result of t-test indicated:intraoperation blood transfusion amout,operation term,nonliver term,breathing machine using term,ICU treatment,bilirubin and PT had statistical significance.Analyzed to above facters with logistic regression,we found intraoperation blood transfusion amout,operation term,breathing machine using term and PT were significant on statis- tics.Conclusion:Risk facters of postoperation pulmonary infection included:a great quantity of blood transfusion,long term operation and nonliver,Long stage using of breathing machine and extension of PT.

4.0 cm,the extension living time and elevation survival rate were better in palliative surgery operation than RFA treatment.However,RFA treatment has lower complications rate and higher postoperation quality of living.

Objective:To draw up a scale of clinical learning environment for nursing to elevate nursing practicing.Methods:Based on the knowledge and studies of the clinical learning environment and focus group discussion with students,reliability of the scale was measured by questionnaire,using reliability and test-retest correlation to evaluate the reliability of the scale.Result:Both the reliability and the test-retest correlation coefficient were more than 0.7(P