Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jul 2018
[Effect of prehospital intervention based on emergency medical services on door-to-needle time of thrombolysis in acute ischemic stroke].
To investigate the prehospital intervention based on emergency medical services (EMS) in patients with acute ischemic stroke (AIS) for door-to-needle time (DNT) with intravenous thrombolytic therapy with recombinant tissue plasminogen activator (rt-PA) impact. ⋯ Prehospital interventions based on EMS can shorten DNT of intravenous thrombolysis in the patients with AIS, improve treatment efficiency, and improve prognosis.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jul 2018
[Predictive value of procalcitonin in intensive care unit delirium].
To analyze the risk factors of delirium in intensive care unit (ICU) patients, and to investigate the predictive value of C-reactive protein (CRP), procalcitonin (PCT), lactic acid (Lac) and neuron-specific enolase (NSE) in the diagnosis of ICU delirium. ⋯ Blood PCT and Lac are the risk factors of ICU delirium. PCT has predictive value for ICU delirium.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jul 2018
Observational Study[Clinical study of vancomycin for appropriate dosing in severe infective patients with augmented renal clearance].
To explore the impact of augmented renal clearance (ARC) on vancomycin pharmacokinetic target attainment in severe infective patients, and to analyze the initial dose of vancomycin based on the measured 12-hour urinary creatinine clearance (12 h-CLCR). ⋯ Patients with ARC have low concentrations of vancomycin and often fail to achieve therapeutic target. The initial dose of vancomycin can be selected according to 12 h-CLCR, the higher the 12 h-CLCR, the more the dosage of vancomycin is. When 12 h-CLCR is greater than or equal to 69.83 mL×min-1×1.73 m-2, the dosage of vancomycin should be higher than the conventional dosage.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jul 2018
[Value of Hepcidin as a diagnostic biomarker of sepsis in critically ill adults].
To investigate the diagnostic value of Hepcidin as a sepsis biomarker in critically ill adults. ⋯ China Clinical Trial Registration Center, ChiCTR-DDD-16008522.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jul 2018
[Ultrasonic monitoring of carotid blood flow in interposed abdominal pulling-pressing cardiopulmonary resuscitation].
To explore the difference in ultrasonic monitoring in carotid blood flow, resuscitation effects and prognosis between interposed abdominal pulling-pressing cardiopulmonary resuscitation (IAPP-CPR) and standard cardiopulmonary resuscitation (STD-CPR). ⋯ IAPP-CPR was superior to traditional STD-CPR in improving arterial blood flow and resuscitation effect, but no superiority was found in ROSC rate and survival rate, which may be relate to the small number of patients that included in this study. More clinic trials are needed.