Objective To investigate the reflect problems of nursing administrators in a municipal city public hospitals, in order to provide information to improve the management policies in public hospitals. Methods To investigate nursing department director (deputy director), departments, ward head nurses (deputy nursing officer) in the five public hospitals of a city, and analyzee the survey data in the way using of frequency analysis and weighted frequency analysis method. Results The top five of nursing administrators reflect problems of the city's public hospitals was lack of nursing staff (13.66%), head nurses lack of systematic management of knowledge ( 11.08% ), nurses have low wages ( 10.56% ), the low quality of nurses (7.64%) and many matters outside the scope of nursing (7.53%), problem and issue of all categories weighted total frequency of 50.47% ,which will take priority to be solved. Conclusions The top five problem in a weighted total order-bit frequency table will be given priority to be solved, to focus on resolving the primary problem of the lack of nursing staff can promote to solve other problems effectively.Public hospitals should improve the human resource system and the nursing management system construction to improve nursing management level.

Objective To discuss the effica of central venous catheter drainage in interventional treatment of abdominal surgical complications.Methods The clinical data of 72 cases of abdominal surgical diseases were retrospectively analyzed,the complications included 23 cases of ascites,19 cases of bile leakage,8 cases of pancreatic fistula,7 cases of pancreatic necrosis and 15 cases of abdominal abscess,they all underwent percutaneous central venous catheter drainage under the guidance of ultrasound or CT.Results Central venous catheter was placed in 72 cases successfully in one time,the cathetem were kept for 2 to 37 days,5 discharged cases with catheter underwent regular reexamination in the clinic.3 cases of ascites were replaced for catheter shedding; 17 cases for occlusion recieved catheter irrigation and guidewire dredging;2 cases of pancreatic necrosis and 1 case of peripancreatic abscess were cured by repeated puncture and replacement of large-bore catheter.2 cases of pancreatic necrosis,1 case of pancreatic fistula and 1 case of appendicitis underwent laparotomy finally; 1 case of postcholecystectomy bile leakage underwent endoscopic stent therapy; 1 cases of severe pancreatitis complicated with ARDS was treated in ICU.Conclusion Central venous catheter drainage guided by ultrasound or CT for treatment of abdominal surgical complications was not only safe but also effective,and is worthy of popularization and application.