Objective: To explore the effect and impact factors of prophylactic uterine artery embolization (UAE) for reducing bleeding during curettage in treatment of cesarean scar pregnancy (CSP). Methods: Data of 841 CSP patients who underwent prophylactic UAE and uterine curettage were retrospectively analyzed. The volume of blood loss during uterine curettage was evaluated, ≥200 ml was judged as poor hemostasis. The influencingmpact factors of poor hemostatic effectsis were analyzed, and complications within 60 days after operation were calculated. Results: Among 841 patients, volume of blood loss during uterine curettage was found ≥200 ml in 53 patients, parity, and embolic agent diameter (>1 000 μm), multi-vessel blood supply and incomplete embolization were independent risk factors (all P<0.05). Within 60 days after UAE, the main postoperative complications included abdominal pain, low fever, nausea and vomiting, and buttock pain, with incidence rates of 71.22% (599/841), 47.44% (399/841), 39.12% (329/841) and 36.39% (306/841), respectively. Conclusion: Prophylactic UAE before uterine curettage in patients with CSP is safe and effective to reduce intraoperative bleeding, and parity, embolic agent diameter, multivessel blood supply as well as incomplete embolization are impact factors.

OBJECTIVE: To examine the function change of myocardial calcium transports and determined what role the change plays in cardiac dysfunction after severe burn injury in rats. METHODS: The contraction and relaxation properties of the left ventricle (LV) were studied in the isolated hearts preparations of Wistar rats at 3, 8, and 24 h after a 30% TBSA (total body surface area) full-thickness burn. The calcium transport function of the sarcoplasmic reticulum (SR) was measured by the millipore filtration technique. RESULTS: The maximal rate of LV pressure (plus minusdp/dtmax) of the burn group was significantly lower than that of the control group (P<0.01). In addition, the calcium-dependent ATPase activity and the coupling ratio of SR were also markedly depressed. CONCLUSIONS: It indicates that the decrease in the SR calcium transport function is one of the important mechanisms for the cardiac contractile dysfunction after severe burn injury.

Objective To explore the perioperative nursing for the patients during 3D video-assisted pneumonectomy. Method The data and nursing experience of 33 cases after 3D video-assisted thoracic surgery from June 2015 to December 2016 were reviewed retrospectively. Results Pneumonectomy was operated in 33 cases, with the operation time (including fast freezing time) of (90～580) min and bleeding volume of (50～1200) mL. The postoperative hospitalization time was (4.0～5.5) d. Postoperative pneumonia occurred in 2 cases and paroxysmal atrial fibrillation occurred in one case, all of which were cured. Conclusion The nursing strategy of preoperative overall assessmentand intervention, respiratory function training and lung rehabilitation exercise guidance and postoperative reinforced oxygen therapy and the management of liquid, body position, chest tube and pains is the guarantee of the surgical success.

ObjectiveTo explore the related factors of troublemaking behaviors among patients with mental disorders induced by amphetamine-type stimulants （ATS）， and to provide references for the formulation of relevant intervention measures for ATS-induced mental disorders. MethodsA total of 105 patients who met the diagnostic criteria of International Classification of Diseases， tenth edition （ICD-10） for ATS-induced mental disorders were included， and classified into troublemaking group and non-troublemaking group. The general demographic data and clinical data of the selected individuals were collected， and all patients were assessed using Social Support Rating Scale （SSRS）. Then univariate analysis and multivariate Logistic regression model were used to screen the related factors of troublemaking behaviors. ResultsThe scores of SSRS， objective support dimension and social support utilization dimension were significantly lower in troublemaking group than those in non-troublemaking group， with statistical differences ［（24.10±6.59） vs. （28.94±5.59）， t=3.364， P=0.001； （5.50±1.96） vs. （8.20±2.13）， t=5.183， P<0.01； （4.60±2.26） vs. （6.28±1.90）， t=3.435， P=0.001］. Multivariate Logistic regression analysis showed that male （OR=6.061， P=0.014） was a risk factor， while high social support level （OR=0.873， P=0.018） was the protective factor for troublemaking behaviors among patients with ATS-induced mental disorders. ConclusionPatients with ATS-induced mental disorders of the males and with low social support level are at high risk of troublemaking behaviors.