通州医学论文及翻译

艾德思可以做这个。

这种比较专业性的好的免费的论文在网上很难找,就算找的应该也不是完整的,特别是免费的,建议你去学校图书馆阅览室,你不有阅览证吗?那里很多,选择性多呀,含金量也比较高.

3 讨论 本组肝硬化患者感染发生率，肝硬化肝功能失代偿child—pugh C级患者合并感染者明显增多。院内感染总发生例次率，住院时间超过1月者发生院人感染机会明显增加，住院期间由于诊冶需要而行各种创伤性操作也增加了医源性感染的机会。肝硬化验室患者肠道内菌群上移，而小肠段肠壁较薄，门脉压增高使肠壁淤血，淋巴流量增多，导致肠壁水肿，致使肠壁屏障被破坏〔3〕。肝硬化患者肝细胞坏死、纤维化的同时，肝脏的单核—巨噬细胞系统功能亦显著受损，使来自肠腔的细菌不能被清除，易发生肠源性感染。本资料已培养检测到的细菌以条件致病菌居多，治疗选用抗菌药物最多的是甲硝唑和头孢第三代类。本组发生感染者病死率％，明显高于无合并感染者的病死率％。提示肝硬化合并感染是造成病情加重，导致死亡的重要原因。这主要与机体免疫功能低下，高胆红素血症、白蛋白明显下降及肝功能衰竭有关。而感染又常诱发生上消化道出血，肝性脑病及肝肾综合征等严重并发症，使肝硬化进展为慢性重型肝炎、肝功能衰竭甚至多脏器功能衰竭而死亡，病死率明显增高。因此，肝硬化患者住院后应抓紧时间检诊，在诊治过程中加强消毒隔离，严格无菌操作及掌握各种侵袭性操作的适应症，尽量减少医源性感染的诱因。对肝功能child—pughC级患者采取绝对卧床休息、给予高热量、适量蛋白质(以植物蛋白为主)、丰富维生素等易消化饮食，并应细嚼慢咽，绝对戒烟酒，加强口腔及皮肤护理，病情稳定后尽早出院。发现感染征兆如不明原因的持续低热，黄疸明显升高，顽固性腹胀、腹痛、腹泻、腹水量明显增多或利尿剂无效等，应及早作细菌培养，合理应用抗菌药物，加强支持利退黄治疗，积极预防和控制感染及严重并发症的发生

The result � Infect with 181 cirrhosises of the occurrence rate sufferer the merger infects with 101, infecting with of the occurrence rate, the infection rate inside the hospital is .� Infection occurrence the part 101 infections totally take place a time of various infection is among those exampleses infect with for 3 parts,24 the examples infect with for 2 parts, Rest 73 the examples infect with for a with the part press occurrence the 频 degree is high and low one by one in order is:At first the peritonitis 59 times of hair, the bowel way infects with 15, topBreathe the way infects with 12 times, the disease 9 times of the germ blood, an infection of lung and pleuritis 8 for each infection of 胆 , urine the road infects with to infect with 5 for each time with mouth cavity, The soft organization of skin infects with 4 times, the shock 3 times of infection.� Occurrence related factor � of the A 101 of the relation infection of the infection and the liver function child- pugh , B and the C class sufferer's numbers distinguish to 11,41 example and with 80 of set not, A, B and the C class sufferer's numbers distinguish to 26,39 examples and cirrhosis merger infects with the C class of child- pugh in setThe number of the sufferer is obvious and precious sight more to infect with the set not, two relatively differ to show the 著 ( x2=, P<) to see the table very much 1.�Two livers function child- pugh ratings compare( X2)Set do not the A B C is totalInfect with the set 11()41()49()101Infect with the set not 26()39()15()81Total 378064181Note:The data inside the brackets counts for the theories of each number( T) Hospital inside infection and hospitalization time relation hospitalization time> January,1/2-1 months and<1/ February hospital inside infection the occurrence rate is respectively, the sufferer of the cirrhosis stay in the hospital> January the opportunity of the infection inside the occurrence hospital is obvious high in< the of January sees the table 2. Hospital inside infect with and stay in the hospital the horary relationStay in the hospital the time infection number infection rate<1/ of 1/2-1 months> of Infection inside the hospital with encroach upon sex operation to relate to in 133 infections, accept to encroach upon sex to operate sufferer's number before list on 3 respectively is:25 exampleThe infection accepted the deep vein to place to take care of the 术 before,14 belly cavities wore to stab the 术 ,4 chests wore to stab the 术 .�Problem complement: The cause learns the germs that the germs development have already examine to have:Rare germ( the stomach water) of the large intestine 埃 ;False single afterbirth germ( the stomach water);Smelly nose gram thunder 伯 surname germ(Blood, phlegm, the bedsore 脓 liquid), 普 in the hair 斯 sand fungi( the blood, the neck vein puts the tube), the epidermis grape germ( phlegm), white beads germ( phlegm, muck,Swallow to wipe the son), pull the surname west germ( phlegm), the ear grape germ( urine).� The one who turn return to take place the infection dies of illness 29, the death rate is ;Don't the one who take place infection die of illness 2, death rate 72 infectionsLearn to examine the foundation in the cause up the reasonable usage antibiotics and protect the liver, the benefit urine etc. treatment, keep patient's mouth cavity and the whole body skin to sweep for the convenience of control infection descend all turn for the better the hospital discharge, the average hospitalization number is not take place the infection of other 78 example at reasonable treatment and nursing under all turn for the better the hospital discharge, evenAll stay in the hospital the day to count to merger infection death rate obvious high in not the one who infect with.( X2= Ps<) see 3 �s of tableInfect with with not infect with death rate compareThe set do not die the number amendment number to add upInfect with the set 29()72()101Infect with the set not 2()78()80Total 31150181Two differences show the 著 meaning