Di-μ-aqua-bis­{diaqua­[μ-4-({4-[bis­(2-hy­droxy­eth­yl)amino]-6-chloro-1,3,5-triazin-2-yl}amino)­benzene­sulfonato]­sodium(I)}

In the dinuclear title compound, [Na2(C13H15ClN5O5S)2(H2O)6]n, two Na+ cations, disposed about a centre of inversion, are linked by two bridging water mol­ecules. The coordination geometry is based on an O5 donor set defined by four water mol­ecules and a 4-amino­benzene­sulfonate O atom in a distorted trigonal–bipyramidal geometry. In the crystal, significant O—H⋯O, O—H⋯N and N—H⋯O hydrogen bonds lead to the formation of a three-dimensional architecture

Clinical observation on different nucleus delivery methods in small incision cataract surgery with non-phacoemulsification

AIM: To compare the clinical effect and characteristics of lens loop extracting nucleus method, water irrigation and nucleus fragmentation within anterior chamber in small incision cataract surgery with non-phacoemulsification. <p>METHODS:There were 324 cases(324 eyes)with senile cataract randomly divided into three groups, by the lens loop extracting nucleus method(group A), water irrigation(group B)and nucleus fragmentation within anterior chamber(group C), to complete the process of nucleus division. The time of nuclear removal, complication during operation, the degree of edema of corneal endothelium on the first day after the surgery and visual acuity after surgery were observed and recorded.<p>RESULTS:The average extracting nucleus time was 45s in lens loop(group A); 34s in water irrigation(group B)and 65s in manual fragmentation(group C).The differences of average time are statistically significant(<i>P</i><0.05), and the complications in lens loop and manual fragmentation mainly are iris trauma and posterior capsular rupture; the complication in the water irrigation is hyphema. Regarding corneal edema from 0 to 1degree, the difference between group A and group B, group B and group C were statistically significant(<i>P</i><0.05). The difference between group A and group C had no statistical significance(<i>P</i>>0.05).Regarding the visual acuity on the first day after surgery, the difference between group A and group C, group B and group C were statistically significant(<i>P</i><0.05), The visual acuity on the 7th day after surgery: the difference between group B and group C were statistically significant(<i>P</i><0.05). In terms of the visual acuity on 1 momth after surgery: three groups have no statistically significant difference(<i>P</i>>0.05).<p>CONCLUSION:Manual fragmentation has obvious advantages in removing nuclear above Ⅳ grade; The water irrigation method has fewer complications with low incidence of corner edema, which is more preferable in removing the nuclear below Ⅳ grade

对乙酰氨基酚中毒1例的抢救治疗和护理

Acetaminophen is commonly used for fever, joint pain, neuralgia, and migraine for its antipyretic and analgesic effects in clinical practice. While large dose of acetaminophen may result in toxic, which causes coma and respiratory failure, cardiac arrest and other organ damage. The paper discusses nursing methods of condition monitoring during continuous blood purification treatment, prevention of infection and nutritional support in patients with acetaminophen poisoning by case analysis.对乙酰胺基酚是临床常用的解热镇痛药，常用于发热、关节痛、神经痛和偏头痛的治疗，大剂量对乙酰胺基酚口服可引起中毒，导致昏迷、呼吸衰竭、心脏骤停等器官的损害。本文通过病例分析，探讨对乙酰氨基酚中毒患者行连续性血液净化治疗期间病情监测、预防感染、营养支持等护理方法

连续性血浆滤过吸附治疗重度百草枯中毒致多脏器功能衰竭患者的护理

Objective: To explore continuous plasma adsorption filtration in treatment with multiple organ failure in severe paraquat poisoning patients and its nursing care. Methods: 52 cases of severe paraquat poisoning were collected from December2009 to May 2009 in poisoning rescue center of affiliated hospital of logistics institute of armed police forces. They were treated with continuous plasma adsorption filtration. Summarize the experience of treatment and nursing. Results: Plasma adsorption treatment of 38 times tace, continuity of static - static hemofiltration treatment of 56 times, continuity of plasma filtration adsorption treatment 64 times, the rescue success rate of 57.96%. Conclusion: Continuity of plasma filtration adsorption treatment 64 times, can effectively improve the rescue success rate of patients with paraquat.目的  探讨对重度百草枯中毒多脏器功能衰竭患者行连续性血浆吸附滤过治疗的护理方法。方法  对本院中毒急救中心2009年12月—2013年5月期间收治的52例重度百草枯中毒患者进行连续性血浆滤过吸附治疗（CPFA）,总结分析治疗、护理的经验。结果  共进行血浆吸附治疗38次，连续性静-静脉血液滤过治疗56次，连续性血浆滤过吸附治疗64次，抢救成功率57.96%。结论  连续性血浆滤过吸附治疗可以有效的提高百草枯中毒患者的抢救成功率

羊水栓塞合并DIC、多脏器功能衰竭1例的ICU护理体会

Objective: To summarize nursing experience of amniotic fluid embolism and a series of serious complications during natural birth. Methods: In August 2013, our hospital successfully treated patients with amniotic fluid embolism a, summarize the nursing measures. Results: By ICU nurses of intensive care patients turn to ordinary ward, in a stable condition after discharged from hospital. Conclusion: Taking positive measures to care patients with severe complications are the key to get better.目的  总结顺产发生羊水栓塞及一系列严重并发症的护理体会。方法  2013年8月本院成功救治1例羊水栓塞患者，总结其护理措施。结果  通过ICU护士的精心护理患者转入普通病房，病情稳定后出院。结论  采取积极的措施治疗护理各严重并发症是患者病情好转的关键

无创正压通气非无创使用在临床的疗效观察与护理

Objective: To observe the clinical effect of noninvasive positive pressure ventilation (NIPPV) in the noninvasive treatment Methods: After invasive mechanical ventilation during treatment line offline test failed for many times, the effect of noninvasive positive pressure ventilation therapy was observed. Results: Tracheotomy in noninvasive positive pressure ventilation after treatment, patients with no bosom frowsty, breath, breathing and other symptoms, can sleep well and have a good diet. Conclusion: Noninvasive positive pressure ventilation of noninvasive use has important clinical significance.目的  观察无创正压通气（NIPPV）非无创使用时的治疗效果。方法  经有创机械通气治疗期间多次行脱机试验失败，给予无创正压通气治疗的观察与护理。结果  气管切开处接无创正压通气治疗后，患者无胸闷、憋气、喘息等症状，睡眠饮食可。结论  无创正压通气非无创使用时有重要临床意义

急性曼陀罗中毒患者临床护理观察

Mandala is used medicinally to treat cough and asthma, conscious sedation. Entire individual plant is poisonous, and the toxic substances are hyoscyamine and scopolamine and atropine, etc. It is a rare case that patients were poisoned by Mandala in clinical practice. More reports were about the cases that patients were poisoned by seeds, fruit, leaf and flower. The toxicity would stimulate and restrain the central nervous system successively, block the reactions of acetylcholine, resist and paralyze the parasympathetic nerve. The paper discusses continuous blood purification treatment and clinical nursing of mandala poisoning patients by case analysis.曼陀罗内服可用来平喘止咳，镇静麻醉。曼陀罗全株有毒，毒性物质为莨菪碱、东莨菪碱和阿托品等。在临床中遇到的曼陀罗中毒罕见。有病例报道多为误食曼陀罗种子、果实、叶、花所致，其毒性作用是对中枢神经先兴奋后抑制，阻断乙酰胆碱反应，对抗和麻痹副交感神经。本文通过病例分析，探讨如何对曼陀罗中毒患者行连续性血液净化治疗、临床护理

The Intoxication Effects of Methanol and Formic Acid on Rat Retina Function

Objective. To explore the potential effects of methanol and its metabolite, formic acid, on rat retina function. Methods. Sprague-Dawley rats were divided into 3- and 7-day groups and a control. Experimental groups were given methanol and the control group were provided saline by gavage. Retinal function of each group was assessed by electroretinogram. Concentrations of methanol and formic acid were detected by GC/HS and HPLC, respectively. Results. The a and b amplitudes of methanol treated groups decreased and latent periods delayed in scotopic and photopic ERG recordings. The summed amplitudes of oscillatory potentials (OPs) of groups B and C decreased and the elapsed time delayed. The amplitudes of OS1, OS3, OS4, and OS5 of group B and OS3, OS4, and OS5 of group C decreased compared with the control group. The IPI1 of group B and IPI1-4 of group C were broader compared with the control group and the IPI1-4 and ET of group B were broader than group C. Conclusions. Both of scotopic and photopic retinal functions were impaired by methanol poisoning, and impairment was more serious in the 7-day than in the 3-day group. OPs, especially later OPs and IPI2, were more sensitive to methanol intoxication than other eletroretinogram subcomponents