In recent years,premature nutritional problems is newborn pediatric paramount concenrn problem.For three material(glucose,protein and fat)metabolism and utilization.premature infants has its own characteristics.In order to avoid side effect,classic parenteral nutrition plan provide for fat emulsion and amino acid gradually,but make premature infants in poor nutrition state.Recent clinical studies have shown that early nutrition is particularly important.Premature infants bom in 24 hours has been given full amount vein nutrition could provide good basis of energy.and avoid associated complications.

Objective To explore the value of transvaginal combined with transabdominal ultrasound examination in diagnosing ectopic pregnancy. Methods The data of 68 cases with ectopic pregnancy examined by transabdominal ultrasound and then by transvaginal ultrasound were analyzed retrospectively. Results. Rates of discovering the diseases of combined examination were distinctly superior to that by any of the single examination. Conclusion Transvaginal combined with transabdominal ultrasound examination could improve accuracy in diagnosing ectopic pregnancy with high clinical merit.

Objective To explore the effect of air impact method clearing out the subballonet secretion on the prevention of ventilator-associated pneumonia(VAP) for ventilation patients.Methods 108 cases from ICU who received mechanical ventilation were selected.Patients were divided into the observation group and control group according to odd and even numbers,54 cases in each group.The control group was received conventional airway management,and the observation group received air impact method on the basis of conventional management Results of blood gas analysis,vital signs,occurrence time of VAP,total incidence of VAP,mortality,OB,positive results during mechanical ventilation were observed.Results Occurrence time of VAP for observation group and control group respectively were (14.1 ± 5.2) d and (8.9 ± 3.8) d.VAP incidence in 1 week for observation group and control group respectively were 7.4% (4/54) and 27.8% (15/54).Test positive result of secretion OB for observation group and control group respectively were 16.7% (9/54) and 3.7% (2/54).Total Incidence of VAP for observation group and control group respectively were 33.3% and 37.0%.Differences of occurrence time of VAP,VAP incidence in 1 week and test positive result of secretion OB for two groups were statistically significant (t =5.933,x2 =7.728,4.960,all P ＜ 0.05).Differences of results of blood gas analysis,vital signs,total incidence of VAP,mortality for two groups had not statistically significant.Conclusion Air impact method cleating out the subballonet secretion is simple and safe.Occurrence time of VAP was delayed.Incidence of VAP in one week decreases.,which creates opportunity for rescuing patients.

The article summarized recent studies on the composition and activity analysis,as well as the clinical application and mechanism of citrus aurantium and its prescriptions,in an attempt to provide theoretical evidence for the clinical application of citrus aurantium on improving gastrointestinal motility.

Cytokeratins can maintain the morphous and function of normal cells. Clinically, cytokera-tins are used to diagnose several tumors as tumor markers. Recently, numerous studies indicate that the abnor-mal expression, mutation in the site of phosphorylation and hyperphosphorylation have relationship with the mechnism of tumorigenesis. Reseach of the relationship is important for the diagnosis, therapy and prognosis of tumor.

Objective To study the reLationship between blood group antibody IgG titer of pregnant women and ABe hemolytic disease of newborn(HDN).Methods Blood group antibody IgG titem of 2700 pregnant women who is O and Rh positive with a non-O husband were detected.After bom,blood groups,Coomb's test,free antibody and antibody release test were done for those 280 babies who were in high risk of HDN.so that we could understand the relationship between the anlibody IgG level of pregnant women and ABO-HDN.Results The percent of anti-A (B)IgG titer＜64,64,128,256 and≥512 in the 2700 O type pregnant women was 62.4%,16.8%,12.6%,5.8%and 2.4%,respectively.There were 67 babies suffered from HDN in those 280 bahies who had high risk.which accounted for 23.9%.With the anti-A (B)IgG liter was 64,128,256 and≥512,the percent of HND positive was 10.2%,27.8%,45.7% and 50.0%,respectively (P＜0.01).Conclusion There is a positive relationship between blood group antibody IgG liter of pregnant women and ABO-HDN.It is necessary for the pregnant women to detect the level of anti-A(B)IgG.

OBJECTIVE:To explore the material features and biocompartibility of stent implantation in treating intrahepatic biliary stricture under ultrasonic guidance.METHODS:The Chinese Journal Full-text Database and Medline were retrieved by the first author using search terms of "intrahepatic biliary stricture,stent,ultrasonic guidance,and biocompartibility" both in Chinese and English.Meta analysis,unrelated papers-er repetitive studies were excluded.After that,21 documents concerning the material features and biocompartibility of stent implantation in treating intrahepatic biliary stricture under ultrasonic guidance were analyzed.RESULTS:Compared with the Previousl surgery,stent implantation exhibited advantages such as small trauma,better curative effect,able to improve life quality and prolong life.Ultrasonic guidance has shown its clinical values during stent implantation because of accurate location,few traumas,low complication and cheap cost.The metal stents were preferred in treating lower ureteral obstruction,which is superior to plastic stents in preventing bacteria,maintaining stent patency and reducing complications.However,due to easy change and cheap cost,the plastic stents are widely used in treating intrahepatic biliary stricture,especially for patients within 3-month survival times.CONCLUSION:Materials of the stents play a key role in influencing the short-and long-term effectiveness in treating intrahepatic biiiary stricture.Accordingly,the suitable stents should be selected prior to implantation according to the sites,degree,type of obstruction,physical state,expected survival time,economical ability,as well as the prognosis to reach the goals of relieving pain and prolonging life.

New nano-fluorescent quantum dots (QD) have excellent optical properties, enabling them widely used in clinical cancer research. When combined with a variety of ligands, quantum dots have been successfully used for early detection of primary tumor, angiogenesis and metastasis, all of which have opened up a new frontier in early diagnosis of cancer.

Objective To discuss the efficacy and safety of insulin aspart 30 injection combined with Akabo Tang (Acarbose tablets)about treatment of patients with type 2 diabetes.Methods 36 cases of type 2 diabetes were selected,by means of insulin aspart 30 combined acarbose tablets treatment,the levels of fasting plasma glucose (FPG)and glycosylated hemoglobin(HbA1c)before and after treatment were observed.Results The levels of fasting plasma glucose were (10.67 ±2.00)mmol/L and (6.76 ±0.47)mmol/L before and after treatment;The levels of HbA1c were (9.54 ±1.90)% and (7.70 ±0.82)% before and after treatment.After treatment,blood glucose and glycated hemoglobin levels in patients were significantly decreased (t =31.920,P <0.05;t =29.624,P <0.05). Conclusion The treatment that insulin aspart 30 injection combines acarbose tablets for type 2 diabetes patients is a safe,effective and convenient option.

Objective To summarize the care measures of the cryosurgical treatment of primary liver cancer,and provide a theoretical basis for clinical treatment and care.Methods A retrospective analysis of 196 cases of primary liver cancer admitted in our hospital from August 2011 to October 2014 including clinical manifestation of adverse reactions and corresponding nursing care was made.Results Postoperative complications of the patients were rectified,and primary symptoms were also relieved.Conclusions Effective nurse care could reduce the incidence of postoperative complications of cryosurgical treatment for primary liver cancer patients,and improve patients' recovery.