Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2015
Comparative Study[Comparison of simplified acute physiology score III and other scoring systems in prediction of 28-day prognosis in patients with severe sepsis].
To investigate the power of the simplified acute physiology score III (SAPSIII) for prediction of outcome for patients with severe sepsis admitted to the intensive care unit (ICU). ⋯ (1) For patients with severe sepsis who were admitted to ICU, MEDS was superior to APACHEII, SOFA, SAPSII, and SAPSIII scores in predicting prognosis. MEDS≥11 may indicate a higher mortality rate. (2) SAPSIII score has comparable predictive capability with APACHEII, SOFA and SAPSII scores may be recommended for prediction of the prognosis of patients with severe sepsis in ICU. But the SAPSIII score is unsuitable for predicting the prognosis of patients with acute sepsis in ICU options, and it is not superior to that of SAPSIII score in predicting prognosis of patients with sepsis in the emergency ICU than other score systems.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2015
[Value of interleukin-27 as a diagnostic biomarker of sepsis in critically ill adults].
To evaluate interleukin-27 (IL-27) as a sepsis diagnostic biomarker in critically ill adults with sepsis. ⋯ IL-27 performed overall poorly as a sepsis diagnostic biomarker in adults. IL-27 may be a more reliable diagnostic biomarker for sepsis in children than in adults. The combination of IL-27 and PCT can reasonably estimate the risk of sepsis in subjects with a non-pulmonary originated sepsis.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2015
[Diagnostic value of serum procalcitonin for infection in the immunocompromised critically ill patients with suspected infection].
To evaluate the diagnostic and prognostic value of the serum procalcitonin (PCT) level in the non-acquired immune deficiency syndrome (AIDS) immunocompromised critically ill patients suspected to have infection. ⋯ The serum level of PCT is found to be a reliable marker for the diagnosis of bacterial infection in immunocompromised critical patients, especially in those with hematologic malignancy. Additionally, PCT provides a useful tool for evaluating the severity of infection and the prognosis of critically ill patients.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2015
[Dynamic monitoring of the neutrophil/lymphocyte ratio could predict the prognosis of patients with bloodstream infection].
To explore the value of dynamic monitoring of the neutrophils/lymphocyte ratio (NLR) in peripheral blood for the prognosis of patients with bloodstream infection (BSI). ⋯ The trend of changes in NEU, LYM and NLR as shown by repeated routine blood examinations contributes to prediction of the outcome of patients with BSI. The levels of 1-day Hb and 7-day NLR are the independent prognostic predictors for 28-day mortality.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2015
[A prospective multicenter clinical study of Xuebijing injection in the treatment of sepsis and multiple organ dysfunction syndrome].
To evaluate the clinical efficacy and safety of Xuebijing injection in treatment of sepsis and multiple organ dysfunction syndrome (MODS). ⋯ Xuebijing injection combined with conventional therapy may effectively ameliorate systemic inflammatory response, protect organ function, alleviate the symptoms, improve organ functions, and elevate the clinical cure rate. Adverse events occur occasionally. Xuebijing injection is found to be safe.