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asbryobvrz · Wysłany: Nie 6:36, 27 Mar 2011

Psychological care in cancer patients

Stereotypes of patients, this type of patient more outgoing,[link widoczny dla zalogowanych], cheerful, and understanding of things is very objective, they have some understanding of their illness,[link widoczny dla zalogowanych], to actively co-ordination of medical treatment against the disease of their own hide, to do this type of psychological care of patients when concerns for less, before we take a more protective of patients suffering from malignant tumors of medical care. Give a true account of the condition the patient does not appear that the patients benefit,[link widoczny dla zalogowanych], but the psychological effect of stable disease is not. If the test results to avoid some of the patients the diagnosis, the patient may have the wrong impression that my condition is deteriorating, and no therapeutic value. The patients thought to increase unnecessary burden on such patients we have to accurately account for the disease, its ideological work to do so well with our patient treatment and care. As the disease progresses, more advanced cancer patients to the performance of pessimistic and negative. Psychological care of cancer patients is a complex and arduous task, we according to the different types of psychological reactions, respectively, the three take the appropriate psychological care, will achieve good results. CLC number: R719.3 Document code: B Article ID :1819 - 964X (2OO7) 04-0086-01 fentanyl and propofol used in the observation of induced abortion Zhengjuan Hua Huang Wenjie (Hospital of Xinjiang good news Ur Urumqi Xinjiang 830011) abortion is a remedy abnormal pregnancy is also a common minor gynecological clinic. Convenient operation, simple, without anesthesia. However, due to pain in some patients but not well with the surgery, to surgery caused some difficulty. Our hospital using propofol, fentanyl for abortion to obtain satisfactory results. These are as follows: 1 Data and methods 1.1 General Information Select June 2003 to June 2005 during the gynecological clinic in our hospital to terminate the pregnancy of 300 cases of early pregnant women, aged 17 to 43 years old, weighing 39 ~ 80 kg, gestational age 6 ~ 11N, generally good. No preoperative history of cardiopulmonary disease, check vaginal practices, vaginal discharge dyeing, blood, activated partial thromboplastin time and prothrombin time are shown normal. And B-said: intrauterine pregnancy. Operative time was 1.5 to 6 minutes. 1.2 The conventional method of fasting before surgery were 4 to 6 hours of water, and prepare the operating room intubated and oxygen equipment. Patients were bladder lithotomy position, routine disinfection of the vulva shop towels, ECG monitoring of blood pressure, pulse, respiration and peripheral arterial oxygen saturation. Open intravenous access, the first intravenous injection of fentanyl 0.1 mg, 2 minutes after intravenous injection of propofol (2 mg / kg),[link widoczny dla zalogowanych], when patients lost consciousness immediately after surgery. The eyelash reflex as a sign of loss of consciousness. Eyes open and call of surgery is the restoration of consciousness. 1.3 during anesthesia in patients with heart rate, respiration and mean arterial pressure, arterial oxygen saturation has decreased, but most are still within the normal range. 34 patients had a significant respiratory depression, accounting for 11.33. Carried by the positive pressure oxygen and soon after the resumption of mandible. 2 Results 86 (1) from the intravenous injection of propofol plus fentanyl to the patient lost consciousness of time is 31 +7.8 seconds, the operation time of 3.8 +2.3 minutes, consciousness recovery time after discontinuation of 5.7 ten 2.1 min. The average dosage of 150 +26.4 mg. All patients were lO minutes after leaving the operating room; (2) 300 pregnant women were successfully completed under satisfactory anesthesia surgery. One intraoperative limb twist lO patients who were in the 1 to 2 minutes after treatment occurs when cervical dilatation. Asked by the surgeon after surgery there was no case of pain and other bad memories. 3 to discuss this article As a result of fentanyl and propofol anesthesia, the propofol dose reported in the literature than the recommended dose (2.5 mg / kg) to a small L】]. Small dose of propofol fast metabolism, short duration of action, no accumulation,[link widoczny dla zalogowanych], wake quickly, it not only eliminates the fear of maternal psychological stress, also reduced the flow response syndrome. Strong analgesic effect of fentanyl and propofol combined to reduce the dose of propofol, and analgesic effect is strengthened, so as to ensure stable anesthesia, really painless and safe abortions, but propofol, fun too Nigeria has some of the inhibitory effect of respiration and circulation, so the operating room must be a sound resuscitation equipment and care throughout the anesthesiologist. This respiratory depression appears to give lift and lower jaw were restored positive pressure oxygen mask. In short, this paper shows that small doses of propofol + fentanyl intravenous anesthesia for abortion and satisfactory anesthesia, recovery fast, convenient and reduce the suffering of patients and is worthy of promotion.