Objective To investigate the impact of a multi-dimensional nursing intervention model on the quality of life and complications of patients undergoing hemofiltration in the intensive care unit(ICU).Methods A total of 100 patients who underwent hemofiltration and were admitted to the department of intensive care medicine of Armed Police Special Medical Center from June 2021 to June 2023 were enrolled as study objectives.Based on nursing methods,the patients were divided into an experimental group and a control group,with 50 cases in each group.The control group received routine nursing intervention,while the experimental group received multi-dimensional nursing intervention.The differences between the two groups were compared in terms of anxiety and depression,sleep quality,quality of life,nursing satisfaction,and incidence of adverse reactions.Results After receiving nursing care,the self-rating depression scale(SDS)score,self-rating anxiety scale(SAS)score,and Pittsburgh sleep quality index(PSQI)score of both groups were significantly lower than those before nursing,while the generic quality of life inventory-74(GQOLI-74)score was significantly higher than before nursing.Moreover,the experimental group showed significantly lower SDS,SAS,and PSQI scores than the control group(SDS score:34.24±4.19 vs.40.24±4.43,SAS score:41.20±4.33 vs.50.10±5.02,PSQI score:sleep quality was 0.90±0.23 vs.1.55±0.51,sleep latency was 0.47±0.20 vs.0.83±0.34,sleep duration was 1.03±0.21 vs.1.78±0.55,sleep efficiency was 0.73±0.23 vs.1.12±0.21,all P<0.05).The GQOLI-74 scores in the experimental group were higher than those in the control group(somatic function was 64.34±6.93 vs.52.33±5.83,psychological function was 60.24±5.34 vs.54.29±5.88,material life was 64.22±6.24 vs.53.18±5.13,social function was 63.54±5.19 vs.54.10±4.24,all P<0.05).Nursing satisfaction in the experimental group was significantly higher than that in the control group[98.00%(49/50)vs.78.00%(39/50),P<0.05],and the incidence of adverse reactions was significantly lower[6.00%(3/50)vs.22.00%(11/50),P<0.05].Conclusion Implementing a multidimensional nursing intervention for ICU patients undergoing hemofiltration can achieve favorable nursing outcomes.It not only helps reduce the incidence of related complications but also effectively improves patients'quality of life and enhances their satisfaction.

Objective To investigate the impact of a multi-dimensional nursing intervention model on the quality of life and complications of patients undergoing hemofiltration in the intensive care unit(ICU).Methods A total of 100 patients who underwent hemofiltration and were admitted to the department of intensive care medicine of Armed Police Special Medical Center from June 2021 to June 2023 were enrolled as study objectives.Based on nursing methods,the patients were divided into an experimental group and a control group,with 50 cases in each group.The control group received routine nursing intervention,while the experimental group received multi-dimensional nursing intervention.The differences between the two groups were compared in terms of anxiety and depression,sleep quality,quality of life,nursing satisfaction,and incidence of adverse reactions.Results After receiving nursing care,the self-rating depression scale(SDS)score,self-rating anxiety scale(SAS)score,and Pittsburgh sleep quality index(PSQI)score of both groups were significantly lower than those before nursing,while the generic quality of life inventory-74(GQOLI-74)score was significantly higher than before nursing.Moreover,the experimental group showed significantly lower SDS,SAS,and PSQI scores than the control group(SDS score:34.24±4.19 vs.40.24±4.43,SAS score:41.20±4.33 vs.50.10±5.02,PSQI score:sleep quality was 0.90±0.23 vs.1.55±0.51,sleep latency was 0.47±0.20 vs.0.83±0.34,sleep duration was 1.03±0.21 vs.1.78±0.55,sleep efficiency was 0.73±0.23 vs.1.12±0.21,all P<0.05).The GQOLI-74 scores in the experimental group were higher than those in the control group(somatic function was 64.34±6.93 vs.52.33±5.83,psychological function was 60.24±5.34 vs.54.29±5.88,material life was 64.22±6.24 vs.53.18±5.13,social function was 63.54±5.19 vs.54.10±4.24,all P<0.05).Nursing satisfaction in the experimental group was significantly higher than that in the control group[98.00%(49/50)vs.78.00%(39/50),P<0.05],and the incidence of adverse reactions was significantly lower[6.00%(3/50)vs.22.00%(11/50),P<0.05].Conclusion Implementing a multidimensional nursing intervention for ICU patients undergoing hemofiltration can achieve favorable nursing outcomes.It not only helps reduce the incidence of related complications but also effectively improves patients'quality of life and enhances their satisfaction.

Objective:To further improve the awareness of the clinical feature of acute diquat poisoning.Methods:A retrospective analysis was performed on 4 cases of acute diquat poisoning with epileptoid seizure as the main clinical manifestation, which were admitted and diagnosed by the Characteristic Medical Center of Chinese People's Armed Police Force from January 1, 2017 to December 31, 2019. Take "Diquat" or "Deiquat" or "Reward" as keyword search for CNKI, Pubmed, and EMbase in both Chinese and English. The date of literature retrieval was from the database founding to December 31, 2019.Results:Of the 4 patients, 3 were male and 1 female, with an average age of 28 years (22-33 years) . The estimated dose was 8-20 g. All patients were treated with gastric lavage, catharsis, fluid replacement, blood perfusion, and in the early stage of treatment of epileptic seizures, the initial routine antiepileptic drugs had poor effect. Then propofol and midazolam were injected into the treatment. The epilepsy was relieved, but the condition deteriorated rapidly, and the patients died eventually. The literature search retrieved 3 patients in the 3 literatures included in the study were analyzed, and their clinical course was similar to that of 4 cases in the center. Necropsy was performedon all 3 patients, and the results were cerebral edema, diffuse cerebral edema, and hemorrhage around the basal ganglia.Conclusion:Acute diquat poisoning can cause epileptic seizures. Once it occurs, the disease progresses rapidly and the prognosis is poor. The combination of large dose of sedative drugs can be used to treat epilepsy in order to improve the prognosis.

Objective:To further improve the awareness of the clinical feature of acute diquat poisoning.Methods:A retrospective analysis was performed on 4 cases of acute diquat poisoning with epileptoid seizure as the main clinical manifestation, which were admitted and diagnosed by the Characteristic Medical Center of Chinese People's Armed Police Force from January 1, 2017 to December 31, 2019. Take "Diquat" or "Deiquat" or "Reward" as keyword search for CNKI, Pubmed, and EMbase in both Chinese and English. The date of literature retrieval was from the database founding to December 31, 2019.Results:Of the 4 patients, 3 were male and 1 female, with an average age of 28 years (22-33 years) . The estimated dose was 8-20 g. All patients were treated with gastric lavage, catharsis, fluid replacement, blood perfusion, and in the early stage of treatment of epileptic seizures, the initial routine antiepileptic drugs had poor effect. Then propofol and midazolam were injected into the treatment. The epilepsy was relieved, but the condition deteriorated rapidly, and the patients died eventually. The literature search retrieved 3 patients in the 3 literatures included in the study were analyzed, and their clinical course was similar to that of 4 cases in the center. Necropsy was performedon all 3 patients, and the results were cerebral edema, diffuse cerebral edema, and hemorrhage around the basal ganglia.Conclusion:Acute diquat poisoning can cause epileptic seizures. Once it occurs, the disease progresses rapidly and the prognosis is poor. The combination of large dose of sedative drugs can be used to treat epilepsy in order to improve the prognosis.

Objective:By comparing the volume% (V% GGOs) of ground glass opacities (GGOs) in high resolution CT (HRCT) of patients with acute paraquat (PQ) poisoning at different time points, its value in the early prognosis of patients with PQ poisoning was analyzed. Methods:The data of patients with PQ poisoning admitted to Department of Respiratory and Critical Care Medicine of Chinese Armed Police Forces from June 2017 to December 2018 were prospectively analyzed. According to the follow-up results after poisoning at 90 days, the patients were divided into the survival group and death group. Three-dimensional reconstruction technology was used to calculate the change of V% GGOs on the 3rd, 5th, and 7th day after poisoning. Chi-square test and One-Way ANOVA of variance were used to compare sex, age, and time of poisoning between the two groups. The Student's t test was used to compare V% GGOs between the two groups at different time points. The receiver operating characteristic curve (ROC) was used to determine the guiding significance of the indicator on the prognosis of patients with PQ poisoning at different time points. Results:A total of 89 patients with PQ poisoning were included in the study, 49 in the survival group and 40 in the death group. There were no statistical differences between the two groups of patients in sex, age, poisoning time, oxygenation index, mean arterial pressure, total bilirubin, blood urea nitrogen, alanine aminotransferase, and aspartate aminotransferase at admission (all P>0.05). The blood PQ concentration (mg/L) in the death group was significantly higher than that in the survival group (6.35 ±0.51 vs 3.49 ±0.21, P= 0.013). On the 3rd, 5th and 7th day after admission, the V% GGOs was significantly higher than that in the survival group (3rd day: 0.062±0.020 vs 0.049±0.007, P= 0.013; 5th day: 0.292±0.130 vs 0.123±0.044, P<0.01; 7th day: 0.334±0.116 vs 0.138±0.034, P=0.019). The area under the ROC curve showed that the prognosis AUC of the 7th day V% GGOs after poisoning was 0.967, the sensitivity was 100% and the specificity was 83.33% when the threshold was 0.16, but the time point was late. On the 5th day after poisoning, the V% GGOs judged the prognosis AUC was 0.842, the sensitivity was 82.35% and the specificity was 89.47% when the threshold was 0.14. On the 3rd day after poisoning, the V% GGOs judged the prognosis AUC was 0.708, the sensitivity was 55.00% and the specificity was 78.95% when the threshold was 0.05. At this time, the sensitivity and specificity were lower than those on the 5th and 7th day. Conclusions:The proportion of ground glass opacity volume in patients with PQ poisoning can be used to evaluate their prognosis, and the best time point is the 5th day after poisoning.

Objective To summarize our experience with surgical management of renal neoplasm involving inferoir veno cava.Methods We review the data of 115 patients,including 74 male patients and 41 female patients,with renal neoplasm involving venous system between March 1993 and December 2015.The mean age was 52 years old,ranging 22 to 77 years old.The tumor was found in right side in 77 cases and left side in 38 cases.There were 15 patients (13.0％) with renal vein thrombus,38 (33.1％) with infrahepatic thrombus,29 (25.2％) with low retrohepatic thrombus,20 (17.4％) with high retrohepatic thrombus,and 13 (11.3％) with supradiaphragmatic thrombus.The mean age was 52 years old,ranging 22 to 77 years old.The tumor was found in right side in 77 cases and left side in 38 cases.All patients accepted the radical nephrectomy.Primary outcomes were overall survival (OS),and cancer special survival (CSS) in patients with renal cell carcinoma (RCC) estimated by Kaplan-Meier method.Secondary outcome included operative and oncological features,past-operative complications and hospital mortality.Cox proportional hazard model was used to univariate and multivariate analysis for risk factor impacting on OS of RCC patients.Results Complete resections of renal neoplasm with tumor thrombus were achieved in 113 patients (98.3％),2 patients died intraoperatively due to the dropping of thrombus.Postoperative complication rate was 16.8％.Hospital mortality was 2.6％.Mean follow-up interval was 48 months.OS rates at 5-,and 10-year in RCC patients were 66.5％,and 61.8％,respectively.Metastasis was an independent risk factor affecting on OS (P =0.000).However,the level of thrombus was not an risk factor affecting the prognosis.Conclusions Radical resection of renal tumor and caval thrombus is an effective treatment for prolonging survival in patients with RCC extending into venous system.Retrohepatic caval tumor thrombus below or above the main hepatic vein should be dichotomized and managed respectively with diverse techniques.Metastatic rather than the level of thrombus was a risk factor impacting on RCC patient survival.