简介：Objective:Toinvestigatetheclinicaltypingandprophylactico-therapeuticmeasuresforacuteposttraumaticbrainswelling(BS).Methods:Aretrospectivestudywasperformedin66casesofacuteposttraumaticBS.Therewere3groupsbasedoncomputeredtomography(CT)scanning:23casesofhemispherebrainswelling(HBS)withmiddlelineshiftforlessthan5mmwithin24hours(GroupA),20withmiddlelineshiftformorethan5mm(GroupB),and23withbilateraldiffusebrainswelling(GroupC).Results:(1)ThemortalityratesoftheoperativeandnonoperativemanagementinGroupA,GroupB,andGroupCwere20.0%,31.6%,and75.0%versus44.4%,0,and85.7%,respectively(P>0.05);whiletheratesinsubgroupswithdifferentmiddlelineshift(morethan5mmandlessorequal5mm)were29.2%and75.0%versus75.0%and44.4%,respectively(0.05>P>0.01).(2)ThegoodrecoveryrateandmortalityinGroupAwere47.8%and39.1%,respectivelyandinGroupC,8.7%and78.3%,respectively,TherewasaverysignificantdifferencebetweenGroupAandGroupC(P<0.01).(3)Thetotalsurvivalrateoftheselectivecomprehensivetherapywas53.1%.Conclusions：(1)AcuteposttraumaticBSneedstobediagnosedcorrectlyandpromptlywithCTscanningwithin4hours.(2)Forpatientswithmidlineshiftformorethan5mm,especiallywiththin-layeredsubduralhematoma,surgicalinterventionisessentialtoreducethefatalityofacuteposttraumaticBS.

简介：摘要：传统上，国内高等教育课程文件是依靠在院校教学大纲完成的，即将踏入临床护生所学内容与临床活动内容往往存在巨大差异。随着护理学科的发展，同时，对护理人员也提出了更高的要求，实习护士如何做好自身准备也成为我们一直探讨的问题。传统背景下，护生该如何找到突破口，提高实习质量，护生面临更大挑战，菲律宾圣托马斯大学理学硕士提出高等教育的质量推动转向OBL学习方法，即护生带着“wish list{1}进入临床活动，根据自身能力制定学习计划，是护生主动将所学的理论知识与实践相结合并巩固加深的重要环节，使护生在学校学习的理论知识应用于临床实践，培养和提高临床思维分析和独立自主解决问题的能力。