Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Aug 2015
Case Reports[Clinical analysis of the first patient with imported Middle East respiratory syndrome in China].
To report the treatment of the first imported Middle East respiratory syndrome ( MERS ) in China, and to investigate the clinical features and treatment of the patient. ⋯ The disease course of the reported patient was short, with an acute onset, with fever as the chief complaint, but there were no respiratory symptoms, though there were high fever, cough, shortness of breath, diarrhea and other clinical symptoms after admission. Virus in sputum disappeared after treatment, but pleural effusion was not completely absorbed. Negative test for virus in sputum was late, indicating that clearance of virus was slow from the lungs. It is the first case of MERS in China, therefore, the clinical manifestations and the treatment strategy need to be further explored.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Aug 2015
Meta Analysis[The effect of Xuebijing injection for severe acute pancreatitis: a Meta analysis].
To assess the efficacy and safety of Xuebijing injection for the treatment of severe acute pancreatitis ( SAP ). ⋯ The currently available evidence shows that Xuebijing injection may have some therapeutic effect on SAP. Because of the low methodological quality of the included trials, multi-center and high-quality RCTs with large sample sizes are needed to provide stronger evidence.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Aug 2015
Randomized Controlled Trial[Comparison of the effect of low molecular weight heparin sodium and that of heparin sodium on pre-disseminated intravascular coagulation stage in patients suffering from exertional heat stroke].
To study the effect of low molecular weight heparin sodium ( LMWHS ) therapy for exertional heat stroke ( EHS ) patients with pre-disseminated intravascular coagulation ( pre-DIC ). ⋯ When LMWHS was applied in EHS patients in pre-DIC stage, it could not only prevent DIC as efficiently as heparin sodium, but also results in lower incidence of bleeding. So LMWHS is safer.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Aug 2015
[The value of modified early warning score in predicting early mortality of critically ill patients admitted to emergency department].
To evaluate the value of modified early warning score ( MEWS ) in predicting mortality of critically ill patients admitted to emergency department. ⋯ Although the incidence of severe adverse events is significantly increased in patients with MEWS ≥5 compared with those with MEWS 0-4, MEWS≥5 cannot be an efficient predictor for 3-day mortality. Abnormal mental status shows some predictive value for early mortality in critically ill patients seen in emergency department.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Aug 2015
[The epidemiology of multidrug-resistant bacteria colonization and analysis of its risk factors in intensive care unit].
To screen the colonization of multidrug resistant organisms ( MDROs ) and determine their risk factors in intensive care unit ( ICU ), so as to provide the basis of prophylaxis and treatment of MDROs colonization. ⋯ High prevalence of MDROs colonization in ICU patients was found in our hospital, and ESBL enterobacteria was the predominant bacteria. ICU acquired MDROs colonization is also worth considering, especially for MDR-AB. Identification of risk factors for MDROs colonization may help identify and screen patients with high risk, and it is also instructive in prophylaxis of MDROs colonization/infection and restriction of the use of broad spectrum antibiotics.