精氨酸布洛芬颗粒口服致变态反应1例

患儿,女,6岁,因“急性化脓性扁桃体炎“入院。无皮疹、瘙痒、呕吐、腹泻等,无食物过敏史,对“青霉素、头孢菌素类“过敏。体格检查示体温波动于38.5℃左右,咽部充血,双侧扁桃体Ⅰ度肿大、表面见脓苔,无三凹征,未闻及干、湿罗音。遵医嘱静脉滴注乳糖酸阿奇霉素注射剂0.2g、甲硝唑注射液60Ml,1H后口服精氨酸布洛芬颗粒(太阳石药业有限公司,国药准字H20070139,批号为200402,规格为每袋0.4g)0.2g进行退热,30MIn后出现全身风团样皮疹,伴瘙痒。考虑药物引起的急性变态反应,立即停用怀疑药品,予以静脉注射地塞米松注射液5Mg,静脉滴注甲泼尼龙琥珀酸钠注射剂40M

从“牛羊互换”到“利率互换”

简单而又朴素的互换的目的是为了实现商品的实物价值 , 使“买者买其所需卖者卖其所有” 。时至今日蓬勃发展的互换交易已不再仅仅服务于这一简单的目的、上个世纪年代出现了一种金融衍生产品—金融互换它是由两个不同的主体签定的按期相互偿付的一种协议包括交换的货币种类的设置、相互偿付款所使用的利率大小偿付时间的确定及其他有关涉及文换双方利益的事项。利率互换是金融互换的一个重要类别它的出现就是为了规避风险、降低成本这对我国现阶段的企业来讲具有重要的借鉴意义。而在国际货币市场上筹资的成本较高。在这种情况下我们可以通过互换市场间接筹资在很大程度上可以筹措到低成本的贷款

全喉切除术后无喉者的语言康复实践

喉癌患者行全喉切除后,由于丧失语言功能,严重影响了其生活、生存质量,积极帮助无喉者使其获得语言康复,既是医疗问题,也是社会问题,我们与香港新声会联合举办语言康复训练班,收到较好的效果,现报告如下.postprin

小牛血清去蛋白注射液静脉滴注致不良反应2例

患者1,男,70岁,诊断为椎-基底动脉供血不足,于2014年11月26日收入医院神经内科治疗。入院时体温36.5℃,脉搏78次/分,呼吸20次/分,血压138/80 MM Hg,心肺未见异常,无癫痫史,否认药物、食物过敏史。12月10日晨9时,静脉滴注小牛血清去蛋白注射液(锦州奥鸿药业有限责任公司,批号

注射用纤溶酶致寒战、高热1例

1病例资料患者男,64岁,2018年2月17日因"突发不能言语、右侧肢体活动差1天"入院。既往有高血压病史;否认药物、食物过敏史。体检:T 36. 5℃,P 80次/min,R 20次/min,BP150/100 mmH g;神志清楚,不能言语,..

对一例重症急性胰腺炎合并急性肾衰竭病人的营养支持方案

目的:介绍临床药师参与1例重症急性胰腺炎病人营养支持方案的制定与调整。方法:临床药师对1例重症急性胰腺炎合并急性肾衰竭病人营养支持的适应证、方式、时机、药物选择、营养素配比进..

Design and measurements of the high gradient accelerating structures

The purpose of this thesis was to study on design and measurements of the high gradient accelerating structures. After introducing the main parameters to characterize Linacs we explained the application of the periodic accelerating structure. Then we studied TW accelerating structure operating at K-band frequency in order to linearize longitudinal space phase to increase beam brightness in the framework of the Compact Light XLS project in order to produce hard x-ray. We estimated group velocity as a function of frequency both analytically and numerically. Analytical results have a good agreement with the numerical results. The main parameters such as shunt impedance, quality factor (Geometric factor) and R/Q independently from the operating frequency for the TM010, TM110 and TM011 for a single cylindrical “pill-box” have been determined analytically as they provide accurate model for the accelerating structures. In order to characterize a normal conducting high accelerating structure with maximum gradients operating at X-band with extremely low probability of RF breakdown, an electroformed SW structures has been fabricated and characterized by SLAC and INFN with collaboration of other institute around the world at 11.424 GHz, coated with Au-Ni. We designed a gold plate RF high gradient structure operating at the X- band coated with Au-Ni. Bench measurements have been performed in the Department of SBAI of the University of Rome “La Sapienza”. The Slater method for the SW cavity has been employed in order to quantify the electric field inside the structure. Comparing the results with the results exposed from HFSS we report the features that have been quantified, showing good agreement. We continued working on the perturbation effect due to the aperture coupled between a waveguide and a cavity but for our application in SW multi-cell high gradient accelerating structure we studied on theoretical approach for reflection coefficient calculation in a SW cavity coupled to a waveguide. One method was based on circuit theory in which we found the overall Q of a resonant circuit for a cavity coupled to an external waveguide containing the RF generator. Q calculation led to the determining of the shunt impedance and consequently the reflection coefficient calculation. Comparison of the results shows a good agreement with the numerical results carried out by using the numerical code, HFSS. Another method of reflection coefficient calculation has been accomplished. We applied the modified Bethe’s theory presented by Collin and developed by De santis, Mostacci and L.Palumbo for TM01 mode cavities coupled by a small hole with a thickness size comparable to the wavelength. The amplitudes of forward and backward waves due to polarizabilites have been determined and we found equations for reflection and transmission coefficients. We demonstrated that our equation for reflection coefficient calculation is an analogous of the reflection coefficient obtained by Collin for TE10 using the circuit theory

临床药师参与一例误诊为亚甲炎的急性甲状腺炎病人治疗的实践与体会

急性甲状腺炎又称急性化脓性甲状腺炎（acute suppurative thyroiditis,AST）或甲状腺脓肿,是一种十分罕见的疾病,仅占甲状腺疾病的0.1%0.7%[1]。AST是细菌或真菌经由血液、淋巴管或邻近化脓灶侵犯甲状腺组织引起的急性化脓性炎症,病人多表现为单侧甲状腺肿痛,吞咽时疼痛加剧,向齿部、两颊、耳后或枕部放射,局部肿胀导致颈部被动后伸,可有邻近组织感染征象。AST早期脓肿未形成

对一例脓毒血症伴慢性肾衰竭急性期病人的药学服务

脓毒血症是因感染导致的一种重度炎症性反应综合征（severe inflammatory response syndrome,SIRS）,目前普遍认为脓毒血症并发急性肾衰是因SIRS发生阶段发生氮质产物潴留、代谢性酸中毒,且在病情进展成严重脓毒血症时发生内环境紊乱而致[1]。临床药学服务的要点在于协助医师尽早控制病人的全身感染,保护肾功