Objective To compare the preserving effect of different packages materials on operation appliance. Methods The operation appliances were wrapped by pare cotton cloth and paper-plastic materials and were stcrihzed. Results After 14 days sterilization, the bacterial colony among 3 groups showed no difference, while after after 30 and 180 days, the paper-plastic packaged operation had a longer preserving period than pure cotton cloth and fibrous cloth packages. The difference is significant( P < 0. 01 ). Condusions Paper-plastic package is superior to packages of pure cotton and fthrous cloth. It can prolong the period of validity of preserving operation and decrease the workload and wastage.

Objective To discuss the management of nursing work under special conditions according to the experiences of setting up a field hospital in Du Jiangyan after the earthquake happened on May 12th in 2008.Methods 18 nurses who participated in the post-earthquake rescue work in a field hospital of Du Jiangyan were selected to complete the clinical materials of 14422 cases of wounded persons.The qualities of nursing management were analyzed.Results To reasonablly implement the elastic on-duty system and to balaneedly distribute the nursing personnel fully showed modem army' s fine characters of culture and technique,tough and warrior.Facing the urgent tasks,we showed good spirit of teamwork.Conclusions To effectively implement the elastic on-duty system assures the quality of nursing work and fulfills the antiearthquake and disaster relief successfully.

Objective To summary the nursing cooperation experiences during the hybridization of interventional radiology and surgery treatment for patient with low extremity arteriosclerosis disease,and to improve the quality of nursing care.Methods 10 advanced age patients with low extremity arteriosclerosis disease from December 2008 to December 2010 in the Chinese PLA General Hospital were treated with the hybridization of interventional radiology and surgery treatment.Nursing cooperation experiences during treatment were summarized.Results 10 patients were performed the hybridization of thrombectomy and transcatheter infusion successfully.The low extremity arterial angiography showed that the blood flow was restoration and the symptom was improved.10 patients without significant complications.Conclusions Comparing with the traditional treatment,the hybridization treatment with the character of minimal invasive,high efficiency and high safety.The nurses should carefully prepare and skilled cooperate to reduce the operation time and decrease the complication rate.

OBJECTIVETo analyze the outcomes of pregnancies in women with systemic lupus erythematosus (SLE) and the risk factors affecting the outcomes.

METHODSThe data of SLE patients with pregnancy admitted from October, 2006 and September, 2015 were analyzed for assessing the maternal and fetal outcomes and complications. Their risk factors affecting the outcomes of the pregnancies were analyzed.

RESULTSThe 66 SLE patients (69 pregnancies) had a mean age at SLE diagnosis of 22.9 ∓ 5.1 years with a mean duration of SLE of 4.1∓3.6 years before pregnancy. Forty-five (65.2%) of the patients received oral medication for SLE treatment during pregnancy, and 44 (63.8%) were treated with prednisone and 19 (27.5%) were treated with hydroxychloroquine. The highest SLEDAI score was 6.8∓7.4 during pregnancy. The patients with moderate-to-severe disease activity had a higher rate of fetal loss (12 [54.5%] vs 12 [25.5%]) with a significantly lower birth weight of the newborns than those with remittent or mild disease (2073.0∓ 778.7 vs 2817.8∓533.7 g, P<0.05). The patients with moderate-to-severe disease activity also had higher rates of new-onset SLE (9 [40.9%] vs 6 [12.8%]), hypertension (12 [54.5%] vs 3 [6.4%]), active lupus nephritis (22 [100%] vs 4 [8.5%]), pneumonia (5 [22.7%] vs 2 [4.3%]), and renal insufficiency (8 [36.4%] vs 2 [4.3%]) compared with patients with remittent and mild disease (P<0.05). Active lupus nephritis (OR=6.10,95%CI: 1.43-25.96) was a significant predictor of adverse outcomes of the pregnancies.

CONCLUSIONFetal loss and maternal complications are common in patients with SLE in relation with the disease activity. Active lupus nephritis is a predictor for poor outcomes of pregnancies in SLE patients.