禁食水术后5-6天进流食吸氧体温、血压、呼吸、脉搏、血氧饱和度监测空肠造瘘管抑酸:0.9%NS　100ml+泮托拉唑80mg　IVgtt　bid维持水电解质平衡:0.9%NS　500ml+　10%KCL　10ml　IVgtt　qd氨溴索注射液　60mg　iv　bid　曲马多　100mg　im　q8h5%GS或0.9%NS　500ml　+　VitC2.0　+　VitB6　0.2　+10%KCL　10ml　IVgtt　qd复方氨基酸18-II　250ml　ivgtt　qd　中长链脂肪乳250ml　IVgtt　qd肠内营养制剂(能全素、能全力、康全力)临时医嘱:切口换药胸片、血常规、肝功能A肾功能电解质泛影葡胺上消化道造影　98.48　15.97　35.48　8.4　15.97　18.9　76　76.5948.8109　8415926340120　长期医嘱:外科护理常规护理级别　特级　一级　二级三级半流质心电监护体温、测血压Q1/2H平稳后改Q2HQ4HQ6H空肠造瘘管0.9%NS　500ml　+　VitC2.0　+　VitB6　0.2　+10%KCL　10ml　IVgtt　qd复方氨基酸18-II　250ml　ivgtt　qd　中长链脂肪乳250ml　IVgtt　qd化痰口服液肠内营养制剂(能全素　能全力、康全力)临时医嘱:切口拆线换药　15.97　18.9　76　10.38　25.58　76.5948.8109　出院医嘱:术后三周普食睡眠时床头垫高出院带药　奥美拉唑　40mg　每天1次,反酸时口服　主要护理工作　密切观察患者病情变化指导术后呼吸训练术后心理与生活护理健康咨询中心加压吸氧心电监护材料费加厚保护床垫动静脉护理静脉注射肌肉注射静脉输液静脉输液12瓶留置导尿引流袋血氧饱和度监测鼻饲点连式止血带特大换药无菌敷贴一般专项护理一次性使用过滤输液预冲式导管冲洗器雾化吸入引流袋更换瓶口贴透明医用敷料胃肠减压负压吸引器胸腔闭式引流瓶负压吸引装置一次性使用吸氧管床位费双人间三人间卫生垃圾处理费陪护费护理费一级护理二级护理三级护理　4.75　2.5*245*24　20　6.89*2　4.5*6　4*2　3*3　6*2　12　11.27*2　3*24　8*3　2.9　47.5　12　85　10.6　9.43*4　9*2　2.36　0.28　6　9.5　3.06　25　13　31.59　4637　21　12　6　3　密切观察患者病情变化指导术后呼吸训练术后心理与生活护理健康咨询中心加压吸氧心电监护材料费加厚保护床垫动静脉护理静脉注射肌肉注射静脉输液静脉输液12瓶留置导尿引流袋血氧饱和度监测鼻饲点连式止血带特大换药无菌敷贴一般专项护理一次性使用过滤输液预冲式导管冲洗器雾化吸入引流袋更换瓶口贴透明医用敷料胃肠减压负压吸引器胸腔闭式引流瓶负压吸引装置一次性使用吸氧管床位费双人间三人间卫生垃圾处理费陪护费护理费一级护理二级护理三级护理　4.75　2.5*245*2420　6.89*24.5*64*23*36*2　1211.27*2　3*248*3　2.947.512　85　10.6　9.43*49*2　2.360.28　69.5　3.06　25　13　31.59　4637　21　1263　观察患者病情变化指导术后呼吸训练心理与生活护理指导恢复饮食健康咨询材料费静脉注射肌肉注射静脉输液静脉输液5瓶鼻饲特大换药无菌敷贴点连式止血带一次性使用过滤输液瓶口贴床位费双人间三人间卫生垃圾处理费陪护费护理费一级护理二级护理三级护理　4.75204*23*26*2　5847.5*28　2.9　14.60.12　4637　21　1263　会诊　County　economic　work　conference　leadership　speech:The　main　task　of　the　twenty-six　session　of　the　six　plenary　meeting　of　the　county　the　county　economic　work　conference　this　time,　by　the　party's　eighteen　and　eighteen　Third　Plenary　Session　of　the　spirit　as　a　guide,　carry　out　and　implement　the　central　and　provincial　economic　work　conference　on　rural　work　conference　and　the　three　session　of　the　seven　plenary　session　of　the　party　to　expand　the　spirit　of　the　meeting,　the　total　summary　of　last　year　the　work,　analysis　of　the　current　situation,　the　deployment　of　this　work,　further　strengthening　the　development　of　consensus,　to　mobilize　the　whole　county　county,　deepening　reform　and　innovation,　to　work　against　poverty,　accelerate　the　transformation　of　leapfrog,　promote　scientific　development,　struggling　to　write　a　new　harmonious　beautiful　mountains　and　show　a　prosperous　civilization　to　build　a　new　building.　The　following　chapter　*　*,　according　to　the　county　Discussion　of　the　views　of　the　Standing　Committee,　I　focus　on　four　aspects　of　the　problem:*　*　*　years,　the　county　to　seriously　implement　the　central　decision-making　arrangements　and　real,　in　accordance　with　the　"high　position,　as　a　typical　tree,　catch　catch　up　with　speed　for　a　breakthrough,　five　in　one　overall　grasp　to　raise　human　resources　to　promote　overall　leap",　firmly　grasp　for　the　project,　investment,　industry,　structural　adjustment,　Emegumi　Mio,　promote　harmony,　agency　the　county　economy　presents　the　social　development　to　catch　up,　are　balanced　development,　promote　the　overall,　a　good　momentum　of　sustained　rise.According　to　Article　11　priority,　economic　construction　full　speed.　Focusing　on　the　development　of　this　priority　service,　set　up　the　market　idea　is　constantly　refined,　can　the　implementation　of　major　projects,　efforts　to　expand　the　investment,　vigorously　develop　the　non-public　economy,　to　ensure　the　continuous　healthy　and　rapid　development　of　the　county　economy,　investment　in　fixed　assets　investment,　industrial　added　value.　Fiscal　income,　per　capita　net　income　of　farmers　and　other　major　economic　indicators　maintained　two　digit　growth.　According　to　the　"3341"　project　engineering,　proved　reserves　pre　project　4744,　*　*　4,　for　central　heating　in　the　west,　the　South　Cave　Temple　landscape　Avenue,　oil　oil　road　lifting　column　ten　key　counties　Project　smoothly,　investment　projects　to　promote　the　transformation　of　the　pull,　supporting　further　highlights　the　role;　to　promote　in　Honghe　oilfield　Mton　construction,　careful　implementation　of　natural　fiber　cotton　industry　a　reconstruction　and　expansion　of　the　two　phase,　Huarun　home　ceramics,　ceramics,　Zhengda　feed　class　three,　class　44　full　load　keep　the　production,　operation　and　sales　booming,　the　cotton　industry　has　become　the　city　after　the　coal　transport　and　one　employment　value-added　industry;　Xiping　railway　through　infiltration　through　operations,　Jing　Road　opened　to　traffic　vehicles,　further　highlights　the　*　*　traffic　hub;　Longyuan　red　fruit　trade　company　successfully　introduced,　for　the　first　time　now　*　*　fruit　Direct　export;　is　a　production　company　300　thousand　tons　of　feed　production　line,　Yurun　Group　*　*　broiler　breeding　district　built　colonization　production,　forming　a　""　company　+　farmers　"model　of　development,　in　promoting　the　transition　to　farming　aquaculture　has　taken　a　solid　pace;　vegetable　industry　focus　management　promotion　and　marketing　docking.　Rui　Jing　River　area,　vegetable　mould　scale　continues　to　expand,　Wang　Rui　Feng,　and　other　heavy　key　towns"　village　village　layout,　sudden　breakthrough　"strong　momentum;　Yudu　Kang　family,　Wang　twenty　shop　center　village　construction　into　the　industry,　ecological,　cultural,　tourism　and　other　factors,　the　tour　group　construction　community　management,　Set　a　benchmark　for　the　new　rural　construction,　the　construction　of　new　rural　county　in　the　two　end　of　the　pilot　beam　to　keep　the　innovation　and　enhance　the　momentum.To　accelerate　the　reform　and　innovation,　political　construction　steadily.　The　reform　and　innovation　as　the　core　of　the　heart,　coagulation　unite　together　in　political　construction,　to　create　a　good　environment　for　the　county's　development.　Constantly　improve　the　working　mechanism,　support　people's　congresses,　governments,　CPPCC　Standing　Committee　work,　to　further　improve　and　perfect　the　sub　division　of　responsibility,　the　full　implementation　of　the　county　led　the　pack　leader　catch　the　township,　contact　departments,　corporate　responsibility　system;　established　a　comprehensive　assessment　of　the　five　one　"approach,　the　implementation　of　Rural　Township,　Department　of　secretary　of　the　party　organization　work　the　honesty　and　democratic　appraisal　system,　encourage　encourage　creative　work　for　the　Department　of　Township,　village　cadres,　and　constantly　improve　the　performance　assessing　and　Industry　Development　Linked　incentive　mechanism,　the　formation　of　winds　are　strong　enough,　good　momentum　and　seek　common　development;　communication　mechanism　and　establishment　of　provinces　and　cities,　"double"　units,　actively　seek　the　support　of　docking　project,　the　implementation　of　funds,　with　the　country,　the　province,　has　injected　new　impetus　to　realize　synchronous　well-off.　To　strengthen　the　grassroots　base,,　take　the　two　push　an　election　"and"　direct　push　elections　",　complete　the　general　village"　two　committees　",　earnestly　carry　out　the　development　of　village　level　financial　clean-up,　to　fully　implement　the　party,　government　and　village　affairs,　expand　the　people's　right　to　know,　participation　and　supervision　rights;　in-depth　implementation　of　the　four　on　two　open"　the　work　of　law,　and　constantly　improve　the　base　By　election　procedure,　public　consultation　and　accountability　mechanism,　promote　the　masses　in　industry　development,　community　governance,　realize　self　management,　public　affairs　and　public　welfare　undertakings　in　the　development　of　self　service.　To　promote　the　reform　of　key　areas　of　heavy　water,　and　comprehensively　promote　the　city　comprehensive　law　enforcement,　business,　food　and　drug　supervision　system　reform,　reasonable　the　adjustment　of　discipline　discipline　inspection　and　supervision,　procuratorate　organs,　quality　inspection　departments,　strengthen　the　integration　of　industry　and　commerce,　service　functions,　improve　administrative　efficiency;　further　promote　reform　into　the　right　system　of　rural　financial　reform　and　development　of　collective　forest,　rural　development　and　further　enhance　the　vitality.Focus　on　financial　integration　and　development　of　cultural　construction,　accelerate　the　pace　of　fast.　Seize　the　province's　heritage　of　Chinese　civilization,　Chuang　Chuang　District　building,　Dayun　Temple　unearthed　cultural　relics　and　Buddhist　relics　"Millennium"　such　as　opportunity,　efforts　to　promote　cultural　tourism　integration　development.　Efforts　to　enhance　the　level　of　planning,　and　employ　high　quality　planning　and　design　units,　the　county　cultural　tourism　development　planning　<　>　and　<　>　the　overall　planning　of　the　cloud　temple,　reported　the　provincial　culture　to　enhance　the　coordination　of　regulation　to　promote　the　leading　group　approved　in　the　province,　the　city　within　the　province,　forming　a　"west　of　Dunhuang,　East　*　*"　consensus,　for　my　county　with　rich　historical　and　cultural　resources　to　promote　the　economic　structure　turn　around,　The　development　of　the　way　to　find　a　starting　point.　And　constantly　improve　the　implementation　of　the　system　of　scenic　spots,　water　conservation　and　construction　of　Tian　exhibition　hall　construction,　built　the　South　Cave　Temple　before　a　square　and　landscape　Avenue,　meticulously　made　jade　Kang　Jia　Wang　Cun,　twenty　shop　ecological　tourism　demonstration　village,　Wu　Huan　Martyrs　Memorial　Hall　preparatory　work　disabilities　progress　smoothly　and,　to　further　improve　the　system　of　tourism　attractions.　Strengthen　the　protection　of　cultural　relics,　the　temple　unearthed　cultural　relics　protection　such　as　the　focus,　to　carry　out　a　full　survey　of　cultural　relics,　registration,　maintenance　and　other　work,　find　out　the　county　cultural　relics　protection　and　the　status　quo.　Continue　to　strengthen　publicity　and　promotion,　in　order　to　Buddha　seselj　"Millennium　now　"As　an　opportunity　to　successfully　held　the　inauguration　cum　Dayun　Temple　Buddha　relic　Lian　in　deep　mining　method;　mother　of　Queen　Mother　of　the　west　culture,　held　the　fifth　cross　strait　Coast　West　Queen　female　culture　seminar　by　Chinese　intangible　cultural　heritage　center　initiative,　the　West　Queen's　birthday　was　established　as　the　Chinese　mother's　day,　I　determine　the　county　as　the"　international　mother　queen　mother　of　the　west　culture　the　research　base　in　Beijing;　the　success　of　the　Gansu　Buddhist　Culture　Research　Seminar　*　*,　established　Chinese　and　international　Fobao　Holy　Buddha　relic　research　center　position,　CCTV　and　Macao　and　so　on　a　number　of　media　for　the　depth,　resulting　in　extensive　influence　at　home　and　abroad,　visibility　and　influence　*　*　*　culture　brand　The　sound　is　further　improved.Efforts　to　improve　the　people's　livelihood　and　social　construction　fruitful.　Adhere　to　the　people-oriented,　pay　more　attention　to　social　construction,　efforts　to　improve　the　people's　livelihood　security　barrier　level.　Careful　measures　do　Huimin　practical,　"double",　agricultural　loans,　and　poverty　alleviation　development　province　in　the　practical　handling　of　solid　and　effective,　especially　Jing　Hebei　road　construction,　the　implementation　of　the　county　the　521　thread　road　reconstruction　project,　to　solve　the　problems　of　the　masses　along　the　way　group　years　of　difficulties　and　problems,　to　speed　up　the　development　of　the　country　along　along　conditions.　Promote　the　overall　development　of　social　undertakings,　adhere　to　the　priority　of　education　development,　construction　completion　of　recruit　students　*　*　4,　13　kindergartens　expansion　and　expansion　is　completed　and　put　into　use,　45　schools　of　food　Hall　fully　completed,　a　substantial　increase　in　the　number　of　on-line　books　over　the　entrance　general;　all　the　full　implementation　of　the　rural　health　service　"ten　full　coverage",　the　county　food　and　drug　supervision　system　for　continuous　improvement;　regarded　attaches　great　importance　to　the　work　of　family　planning,　the　national　population　and　family　planning　interests　to　guide　policy　system　construction　demonstration　county　through　the　provincial　inspection;;　multi　expansion　the　coverage　of　social　security,　technology,　radio　and　television　undertakings　developed.　Continue　to　deepen　the　"double"　action,　in　accordance　with　the　"village　is　linked　industry,　household　income　is　linked　to　help"　ideas,　deepening　the　"not　rich　first　help,　together　with　the　well-off　society"　theme　of　practical　activities,　to　build　a　market　wide　wide　Base　platform,　connection　with　the　farmers,　new　farmers'　professional　cooperative　economic　organization　with　121,　capital　cooperatives　10,　first　rich　guide　staff　and　poverty　benefit　object　to　establish　the　node　mechanism,　for　rich　people　to　fulfill　their　social　responsibilities,　to　realize　their　own　value　to　build　a　platform　for　poor　farmers　to　get　rich　extension　expand　the　ways　find　the　starting　point,　for　all　levels　of　cadres　to　carry　out　work.　To　strengthen　social　governance,　to　construct　the　scientific　governance　pattern　of　society　as　the　direction,　to　the　township　level　and　village　level　social　service　community　management　as　the　focus,　product　actively　adapt　to　the　economic　structure,　organizational　form,　the　trend　of　diversified　values　Tie,　and　carry　out　the　management　of　rural　"three　movement",　"five　independent,　three　cooperation"　for　action　and　"a　study　of　three　visits　three"　the　main　theme　of　practical　activities,　promoting　social　comprehensive　governance,　in-depth　investigation　and　handling　of　the　spear　of　contradictions　and　disputes,　to　crack　down　on　illegal　crime,　the　social　stability　and　development　to　optimize　the　environment.Adhere　to　the　comprehensive　combination　of　governance,　improve　the　level　of　ecological　civilization.　Ecological　construction　mode　of　innovation,　to　continue　to　expand　the　ecological　effect,　and　strive　to　build　the　ecological　brand,　the　construction　of　ecological　civilization　step　pace　significantly　accelerated.　Forestry　development　efforts　of　the　increase,　to　control　the　key　areas　of　green　and　heavy　key　River　Basin　as　the　focus,　carefully　implement　the　whole　basin　destroy,　surface　mountain　ecological　restoration,　forest　road　facilities　and　villages　Tuen　green,　complete　ecological　afforestation,　mu,　ecological　barrier　function　is　growing.　The　environment　restoration　by　Ti　Tianjian　to　accelerate　the　pace　of　construction,　small　watershed　management,　the　governance　and　the　construction　of　high　standard　basic　farmland　for　heavy　emphasis,　additional　land　acres,　national　water　Soil　conservation　ecological　civilization　County　created　by　the　provincial　approval;　in　energy　development　and　pollution　of　heavy　industrial　enterprises　focus　on　emission　reduction　as　the　focus,　pay　close　attention　to　the　implementation　of　environmental　protection　measures,　environmental　quality　improved　significantly.　The　effectiveness　of　county　county　village　of　environmental　governance,　vigorously　implement　the　"five　force　change　three　construction　and　reconstruction　to　carry　out　comprehensive　renovation,　village　environment　comprehensive　improvement　of　the　rural　environment,　dirty,　chaotic,　and　poor　problem　in　some　key　areas　to　be　solved.Outstanding　pioneer　leader,　continue　to　strengthen　party　building.　The　main　building　and　development　of　the　theme　on　the　buckle,　positive　innovation　carrier,　and　strive　to　build　the　brand,　and　the　scientific　level　of　Party　Construction　in　a　step　by　step　improvement.　To　strengthen　ideological　and　political　construction,　organization　of　Party　members　and　cadres　to　seriously　study　and　implement　the　party's　general　secretary　of　the　Third　Plenary　Session　of　the　eighteen　and　Xi　Jinping　series　of　important　speech,　enhance　ideological　and　political　quality　of　cadres　and　Party　members　at　all　levels　of　ability　to　lead　the　development　of;　extensive　"China　country　dream"　publicity　and　education,　and　actively　promote　the　"harmony",　"Ten　Star"　filial　piety　"of　mass　spiritual　civilization　creation　and　evaluation,　public　citizen　morals　and　socialist　core　The　construction　of　value　system.　The　whole　heart　constantly　strengthen　comprehensively　strengthen　the　building　of　grassroots　organizations,　to　force　"five　hundred　points"　building　integrated　joint　demonstration　project,　carefully　build　the　"Jing　water　pioneer"　brand　building,　earnestly　carry　out　the　exhibition　"home　hand　in　hand　to　build　well-off　dream"　theme　activities,　and　constantly　improve　the　working　mechanism　of　township　town　Party　committee　the　base,　the　grass-roots　party　construction　work　was　significantly　improved;;　set　up　in　Germany　for　the　first　to　have　both　ability　and　political　integrity,　and　attention　to　conduct,　advocate　hard　work,　outstanding　performance,　recognized　by　the　masses　"selection　guide,　on　the　part　of　the　Township　Town,　the　Department　team　has　been　adjusted,　so　that　a　number　of　pragmatic　style,　outstanding　performance.　The　masses　of　the　public　That　cadres　be　reused;;　the　full　implementation　of　village　cadres　remuneration　growth　mechanism,　hiring　150　student　village　cadres,　selected　54　outstanding　young　cadres　to　serve　the　village,　15　outstanding　college-graduate　village　official　in　Shandong　Weifang　square,　study　tours,　stimulate　the　work　of　cadres　working　force.　Continuing　to　strengthen　cadre　style　construction,　the　full　implementation　of　the　central　"eight　regulations"　and　the　relevant　provisions　of　province,　city　to　beg,　carry　out　the　"effectiveness　storm"　actions,　streamline　meeting　documents,　reduce　public　official　reception,　strictly　control　three　funds　charges,　and　resolutely　put　an　end　to　waste　waste,　actively　carry　out　the　clean　room,　clean　car　and　normative　appraisal　standards　commend　Other　special　activities,　work　style　continued　to　improve.　Must　strengthen　clean　government,　strict　accountability,　honest　government,　political　party　cadres　standards,　leading　leading　cadres　a　pair　of　responsibility　and　the　political　conversation　system,　education,　system,　supervision　and　punishment　as　the　main　content　of　the　punishment　and　prevention　system　to　establish　an　effective,　long-term　mechanism　of　anti-corruption　corruption　tends　to　improve,　to　accelerate　the　development　of　the　creation　of　a　good　environment.The　scientific　study　situation,　is　the　premise　and　basis　of　doing　all　the　work.　The　thorough　analysis　of　the　situation,　we　feel　deeply　felt,　at　present,　my　county　is　in　advance　in　the　crucial　period　of　reform,　the　transition　across　the　reversal　period,　the　critical　period　of　accelerated　development　period,　even　in　the　golden　period　of　economic　development　period,　superposition　the　policy　of　opportunity,　the　release　period　after　hair　advantage,　pressure　and　hope　coexist,　opportunities　and　challenges　coexist.　Can　seize　the　opportunity,　meet　the　challenge,　while　avoiding　disadvantages,　to　smooth　profits,　to　complete　our　duties,　given　the　history,　is　a　major　issue　to　be　in-depth　thinking　of　the　entire　County.　We　should　not　only　in　Gu　Qing　review　summary　Wake　up　the　understanding　of　their　own　difficulties　and　problems　in　the　development　existence,　and　clarify　the　opportunities　and　challenges　in　the　macro　situation,　but　also　in　the　future　in　the　development　of　law　and　to　grasp　and　accurately　judge　the　characteristics　of　order　stage,　actively　adapt　to　the　change　trend,　firmly　establish　the　"feel,　hardship,　seize　the　opportunity　to　tackle,　firm　speed　up　the　development　of"　faith,　struggling　to　write　beautiful　beautiful　chapter.　The　spectrum　of　a　prosperous　civilization　and　harmonious　construction　of　the　new　policeHow　to　recognize　the　hardship,　is　to　ask　questions,　identify　the　crux　of　the　self　pressure.　The　ancients　said:　"calamity,　died　of　happiness".　Facing　the　new　situation　of　development,　we　should　not　only　summarize　the　experience　and　results,　more　important　is　to　find　out　the　questions,　recognize　the　gap.　For　many　years,　through　the　tireless　efforts　of　the　whole　county　my　county,　the　economic　and　social　development　has　made　remarkable　achievements,　but　in　accordance　with　the　requirements　of　the　new　situation　and　measure,　the　total　economic　output　is　small,　the　development,　open　development　level　is　low,　the　crux　of　the　problem,　some　of　the　problems　restricting　the　development　has　not　been　fundamentally　solved.　One　is　the　depth　of　the　development　of　industrial　agriculture　is　insufficient.　Pass.　Through　exploration　and　practice,　the　team　and　the　county　cadres　and　the　masses,　and　the　three　leading　industry　begun　to　regulate　livestock　scale,　benefit　initially　apparent.　But　universally　exist　imperfect　market　mechanism　problem,　is　still　in　the　standardization　of　production,　market　operation,　the　initial　industrialization　stage.　The　fruit　industry　to　expand　the　amount　of　quality　and　efficiency　brand　is　facing　many　challenges,　because　in　the　affected　area　of　cultivated　land　constraints,　the　scale　of　the　surface　does　not　have　the　advantage,　we　must　strengthen　management,　improve　the　efficiency　of　the　efforts　in　depth　development,　cultivating　cluster　composition　articles,　or　in　a　passive　situation　in　the　region　will　be　competitive.　The　animal　husbandry　industry　still　to　support　the　project,　large　pile　planting,　Small　cell　model,　the　total　size　of　small,　large　fluctuations　in　the　market,　the　overall　efficiency　is　not　high.　The　government　funded　the　construction　of　vegetable　industr