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Discussion of contemporary mental health doctors

Increasing reports of splenic rupture, and achieved satisfactory results. to non-surgical treatment of rupture, of which 21 cases were successful, reported as follows. 1 Data and methods 1.1 General information on this group of patients were treated 45 cases of traumatic rupture of spleen, 32 males and 13 females. aged 12 to 57 years The average age of 34 years. The causes of injury and trauma in 8 cases,[link widoczny dla zalogowanych], 12 cases Author: Xili,[link widoczny dla zalogowanych], Shenzhen 518055 People's Hospital Surgery (Chen Yujie boxing injuries,[link widoczny dla zalogowanych], 11 cases of falling from height injuries, motorcycle or car hit in 9 cases, 5 patients injured by heavy objects. visits from injury time 1 ~ 28 / b time. the whole group of hemodynamic stability (systolic blood pressure> 12kpa) or after infusion of 1000ml stability were diagnosed by CT, is separated from the sweep to the top pelvic, grading of splenic injury and accurate estimates of the amount of bleeding. The patients were all I ~ Ⅲ grade splenic injury. physical examination and abdominal surgery without the need to wear so exclude intra-abdominal associated injuries. 1.2 Clinical manifestations and diagnosis of this group patients had left upper abdominal pain, physical examination with varying degrees of left abdominal tenderness and rebound tenderness. stable blood pressure on admission, blood tests: hemoglobin (Hb) greater than 10g/dl. 45 patients underwent B- , CT examination, results suggest that rupture,[link widoczny dla zalogowanych], intra-abdominal fluid. splenic injury by American Society of Trauma Surgery (AAST) grading standards established by B ultrasound or CT, I level in 27 cases, II level in 18 cases. The results show that The doctor's job satisfaction is generally low, in a number of indicators are higher than normal. Now, it is generally believed that a doctor is a stressful occupation, mainly in the work load is too large, repetitive work of high infections risk, medical equipment, update technology capability and level of jobs and higher demands put forward, which is consistent with overseas studies have reported】. Our results also show that both male doctor or female physicians, the number of positive items were higher than normal mode (P <0.05). In obsession, anxiety, terror, paranoia, psychosis, and other indicators are compared with the norm, the difference was statistically significant (P <0.05). Comparison of female doctors and male doctors in force, terror and paranoia and other indicators, the female doctor to Dr. Gao Yunan score. caused by the current situation, the deeper reason is that China is in a society in transition, policies, system is not perfect, the medical environment profound changes are taking place, the old system to the core public health care system out of the stage of history, and the new security system is constantly being explored. a serious shortage of investment in the hospital, making the transfer to the hospital social contradictions, and bear the brunt of a clinical first-line medical staff. As society progresses, people are increasing demands for medical services, and limited medical input is often difficult to meet the needs of the majority of patients, which inevitably produce conflict, public opinion and often hospitals and doctors as the object of blame. all respects to the current health care environment is difficult to get rid of the pressure to bring doctors, resulting in their physical and mental exhaustion. The survey results showed that overall a top three hospital doctors was significantly higher than normal psychological stress, mental health worse. including, anxiety, hostility, phobia, paranoid and other factors was significantly higher than normal, and there were significant differences (dead <O.05). that the mental health of medical attention, and promote harmonious relations between doctors and patients to ensure the health of the people, is already a pressing social problem. of course, affect the mental health doctors are many factors, such as with the doctor's gender, occupation, regional differences and the level of the relevant medical institutions, needs further study. Mission
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