Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2013
Comparative Study[Comparison of value of GRACE, APACHEII and REMS for early prognosis of death in patients with acute myocardial infarction].
To evaluate and compare the predictive value of short-term risk of death of global registry of acute coronary events (GRACE) risk scores, acute physiology and chronic health evaluation II (APACHEII) scores and rapid emergency medicine score (REMS) in patients with acute myocardial infarction (AMI). ⋯ GRACE and APACHEII scores for patients with AMI risk of short-term death showed more accurate in predicting early than GRACE scores, and REMS for AMI risk of short-term death did not have predictive value.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2013
[An investigation on correlation of severity of brain injury with the expression of activin A and C-reactive protein].
To determine the dynamic change in serum levels of activin A (ACTA) and C-reaction protein (CRP) in patients with brain injury, and to investigate its significance. ⋯ Serum levels of ACTA and CRP in patients with brain injury are strongly correlated with the severity of the injury. Furthermore, ACTA is more sensitive than CRP in detecting early brain injury. Therefore, ACTA is a specific factor for detecting brain injury.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2013
Randomized Controlled Trial[Clinical significance of dynamic monitoring of procalcitonin in guiding the use of antibiotics in patients with sepsis in ICU].
To investigate the significance of dynamic monitoring of procalcitonin (PCT) in guiding the use of antibiotics for treating patients with sepsis in intensive care unit (ICU). ⋯ Dynamic monitoring of PCT can effectively reduce antimicrobial drug use in ICU patients with sepsis, but there is no significant difference in patients' prognosis.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2013
[The clinical value of atrial natriuretic peptide in early diagnosis of sepsis].
To evaluate the clinical value and specificity of atrial natriuretic peptide (ANP) in early diagnosis of sepsis. ⋯ Plasma ANP concentration is clinically valuable in early diagnosis and severity assessment of sepsis, and it is more specific and sensitive than biomarkers PCT and CRP.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2013
[Analysis of drug resistance of Acinetobacter baumannii and its related factors in ICU].
To investigate drug resistance of Acinetobacter baumannii and its related factors in intensive care unit (ICU), and to provide clinical basis for prevention and treatment. ⋯ Acinetobacter baumannii in ICU was conditional pathogenic bacteria with high infection rate, and the lower respiratory tract was the main site of infestation. The related factors include mechanical ventilation, ICU stay time, coma, usage of broad-spectrum antibiotics. Its antimicrobial resistance rate was high. Comprehensive measures, including environmental isolation, strict bed unit disinfection, enforcement of hand disinfection, strengthening the effort to shorten the duration of mechanical ventilation, reduction of ICU length of stay, enhancement of drainage of mucus, excretions, and other body fluids, and rational use of antibiotics should be encouraged in order to reduce Acinetobacter baumannii in ICU.