Zhonghua wei zhong bing ji jiu yi xue
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2013
[The impact of initial fluid resuscitation with different ratio of crystalloid-colloid on prognosis of patients with severe acute pancreatitis].
To investigate the impact of fluid resuscitation with different ratio of crystalloid-colloid in early resuscitation stage on prognosis of patients with severe acute pancreatitis (SAP). ⋯ A suitable crystalloid-colloid ratio should be considered in the early stage of resuscitation in patients with severe acute pancreatitis, which would result in a decrease in the fluid retention in the third space as well as an improvement of survival rate in return. It is suggested that the middle ratio of crystalloid-colloid fluid resuscitation should be the optimal strategy.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2013
[Application of PiCCO monitoring in patients with neurogenic pulmonary edema].
To evaluate the application of pulse induced contour cardiac output (PiCCO) monitoring in patients with neurogenic pulmonary edema (NPE), and to assess the accuracy of capacity parameters such as intra thoracic blood volume index (ITBVI) and global end diastolic volume index (GEDVI) and pressure parameters such as central venous pressure (CVP) in estimating severity of NPE, and to assess the prognostic significance of extravascular lung water index (EVLWI) on patients with NPE. ⋯ Capacity parameters such as GEDVI, ITBVI can assess EVLWI of NPE patients accurately and reliably. In NPE patients, the higher the PVPI and EVLWI, the lower the PaO2 / FiO2. By dynamic observation of the trends of EVLWI in NPE patients, we are able to assess the prognosis of these patients.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2013
[Effects of intermittent high-volume hemofiltration in the treatment of patients with severe sepsis and septic shock].
To investigate the effects of intermittent high-volume hemofiltration (IHVHF) on 28-day survival in severe sepsis and septic shock patients. ⋯ For patients with severe sepsis and septic shock and complicated by acute renal failure or MOF, high dose IHVHF (≥ 70 ml×kg(-1)×h(-1)) was a protective factor against 28-day mortality for these patients, and prolongation of IHVHF treatment could decrease 28-day mortality.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2013
Randomized Controlled Trial[The use of sodium bicarbonate in stages in treating hypoperfusion induced lactic acidemia in septic shock].
To explore the use of sodium bicarbonate in stages in treating hypoperfusion induced lactic acidemia due to septic shock. ⋯ The use of sodium bicarbonate in stages in treating hypoperfusion induced lactic acidemia as a result of septic shock can lower the occurrence rate of multiple organ dysfunction syndrome, time of mechanical ventilation, durations of stay in ICU and in hospital, and mortality.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2013
Randomized Controlled Trial[Treatment of lactic acidosis with early continuous blood purification].
To observe the therapeutic effect of early continuous blood purification (CBP) on lactic acidosis patients. ⋯ Early correction of lactic acidosis with CBP could reduce the mortality of lactic acidosis.