Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2018
Meta Analysis[Effects between chest-compression-only cardiopulmonary resuscitation and standard cardiopulmonary resuscitation for patients with out-of-hospital cardiac arrest: a Meta-analysis].
To comprehensively evaluate and compare the resuscitation efficacy of chest-compression-only cardiopulmonary resuscitation (CCPR) and standard cardiopulmonary resuscitation (SCPR) for patients with out-of-hospital cardiac arrest (OHCA). ⋯ For patients without OHCA etiological classification, CCPR was not less than SCPR in improving ROSC rate, discharge survival rate and good neurological function, and CCPR was more advantageous in learning and the willingness of bystanders to implement. However, when non-cardiogenic OHCA could be identified, SCPR should be recommended when conditions permit.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2018
Randomized Controlled Trial[Effects of aerosol inhalation on respiratory mechanical parameters under different ventilation patterns and ventilator parameters].
To investigate the effects of aerosol inhalation on respiratory mechanical parameters under different ventilation patterns and ventilator parameters in patients on mechanical ventilation and simulated model of aqualung in vitro. ⋯ Under the VCV mode, the oxygen flow outside the atomization could lead to the increase in VT of the patient side, while under the PCV mode, the VT and Ppeak in the patient side had no significant change. Both VTi and VTe monitored by ventilator could not reflect the patient's VT under either VCV or PCV mode.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2018
Controlled Clinical Trial[Risk factors analysis of renal replacement therapy after liver transplantation and prognosis effect of initial treatment time].
To analyze the risk factors of renal replacement therapy (RRT) in acute kidney injury (AKI) patients after liver transplantation, and to investigate the prognosis effect of initial RRT treatment time. ⋯ MELD-Na score, intraoperative NE dose and fluid infusion were the independent risk factors of RRT implementation in AKI patients after liver transplantation. NE dose had moderate predictive value, but MELD-Na score and fluid infusion had low predicative value. Initial RRT on KDIGO stage-2 could reduce the duration of mechanical ventilation and the length of ICU stay.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2018
[Evaluation value of human antibacterial peptide LL-37 on the prognosis of elderly patients with sepsis].
To evaluate the prognostic value of human antibacterial peptide LL-37 in elderly patients with sepsis. ⋯ The expression of LL-37 increased in the early course of the disease in elderly patients with sepsis. However, as the disease progressed and worsened, the level of LL-37 had a decline tendency and was associated with death. The dynamic monitoring of LL-37 combined with APACHE II and SOFA scores had clinical guidance value in predicting the prognosis of sepsis in the elderly.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2018
[Predictive value of glycosylated serum protein combined with glycemic variability on secondary persistent inflammatory immunosuppressed catabolic syndrome prediction in elderly septic patients].
To investigate the predictive value of glycosylated serum protein (GSP) combined with glycemic variability (GV) in persistent inflammation immunosuppressive catabolic syndrome (PICS) in elderly septic patients. ⋯ GSP combined with GV could effectively predict secondary PICS in elderly septic patients.