Objective To discuss the monitor and treatment of patients' abnormal condition of circulation system after liver transplantation.Methods Dynamic monitor of 23 patients' circulation system after liver transplantation.Variables include haemodynamics index,plasma albumin,coagulation function,temperature,urinary volume,electrolyte,et al.Results The patients with liver transplantion are in high haemodynamics.Some of them undergo pulmonary hypertension,hypoproteinemia,hypothermia,hypourocrinia,kaliopenia.Conclusion Pay attention to the abnormal condition of circulation system after liver transplantation,take protective the restoration of graft function actively.

Adult ; Dinitrobenzenes ; poisoning ; Emergency Treatment ; Humans ; Male ; Middle Aged ; Occupational Exposure

Objective To explore the effects of improved suction syringe used during transporting patients on suction. Methods A total of 50 patients with oral tracheal intubation mechanical ventilation were selected in Emergency Room of the First Affiliated Hospital of Wenzhou Medical University from January to September 2015, patients were divided into experimental group and control group by the random number table, 25 cases in each group. Patients in experimental group were treated with suction with the improved suction syringe. Otherwise, patients in control group accepted suction with wall-mounting type aspirator. We compared the effects of suction and the rate of mucosa injury in two groups. Results There were no statistically significant differences in effects of suction and the rate of mucosa injury between the two groups (P> 0.05). Conclusions The improved suction syringe can achieve the same effects of suction with wall-mounting type aspirator and will not increase the rate of mucosa injury. It can be used in patients with artificial airway during clinical transportation.

Objective:To investigate the current status of alexithymia and silence behavior in clinical nurses, and analyze the influence of clinical nurses' alexithymia on silence behavior.Methods:Using the cross sectional survey method, convenience sampling was used to select 589 clinical nurses from the First Affiliated Hospital of Wenzhou Medical University as the research object from September to October 2019. The investigation was carried out with the general information questionnaire, Toronto Alexithymia Scale (TAS) and the Employee Silence Scale to analyze the influence of alexithymia on silence behavior of clinical nurses. A total of 600 questionnaires were distributed and 589 valid questionnaires were returned, with the effective response rate of 98.2%.Results:Among 589 clinical nurses, the total scores of TAS and silence behavior were (54.07±8.86) and (36.24±6.32) respectively. The results of single factor analysis showed that in terms of job title, working years, education, department, form of employment, and marital status, there were statistically significant differences in the scores of the Employee Silence Scale in 589 clinical nurses ( P<0.05) . Pearson correlation analysis results indicated that clinical nurses' TAS scores were positively correlated with the Employee Silence Scale scores. The hierarchical regression analysis showed that describing affective disorder and extroverted thinking had a positive predictive effect on silence behavior, explaining 24.1% of the total variation. Conclusions:The alexithymia and silence behavior of clinical nurses need to be improved, and the alexithymia positively affects the silent behavior. Nursing managers should encourage clinical nurses to actively express their inner suggestions and ideas, and reduce the silence behavior of clinical nurses.

Objective To explore the effects of two-dimension code learning platform in medical equipment learning among nurses of emergency intensive care unit (EICU).Methods In February 2018, we selected 49 EICU nurses in the First Affiliated Hospital of Wenzhou Medical University as subjects by cluster sampling. On the basis of traditional training, the two-dimension code learning platform was carried out in the medical equipment training. The theoretical examination and operation examination of nurses were compared before and three months after training. The training effect was assessed with the two-dimension code learning effects evaluation scale.Results A total of 49 (100.00％) nurses thought that they could acquire knowledge in time and efficiently by two-dimension code learning platform. After training, the theoretical examination and operation examination of EICU nurses were higher than those before training with statistical differences (P< 0.05).Conclusions The application of two-dimension code in constructing medical equipment learning platform improves timeliness and learning interest in knowledge acquisition of EICU nurses, and increases their theoretical examination and operation examination in medical equipment which is worthy being popularized and applied.

Objective To explore nursing methods and characteristics of patients with sepsis and acute kidney injury to improve the success rate of treatment. Methods Clinical data of 90 patients with sepsis and acute kidney injury was collected from December 2006 to October 2011 in EICU. Treatments included correcting shock and treating primary disease positively, using antimicrobial drugs rationally, correcting acid-base imbalance and water electrolyte disorders, continuous renal replacement therapy and so on. Nursing interventions included paying attention to early fluid resuscitation, observing symptoms changes and treating complications in time, strengthening the hemodynamic monitoring and nursing for blood vessel channel. Results There were 45 patients whose renal functions recovered to normal and 45 patients who developed renal failure and died in 90 patients. Conclusions Since the mortality was high in patients with sepsis and acute kidney injury, it is important to observe the serial changes of condition closely and provide nursing effectively for the recovery of renal functions. It is helpful to improve success rate of treatment for patients with sepsis and acute kidney injury.