Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2019
[Renal echography and cystatin C for prediction of acute kidney injury: very different in patients with cardiac failure or sepsis].
To explore the predicting performance of renal resistive index (RRI), semi quantitative power Doppler ultrasound (PDU) score and serum cystatin C (Cys C) for acute kidney injury (AKI) in patients with cardiac failure or sepsis. ⋯ RRI and PDU score effectively predict AKI stage 2 or 3 in cardiac failure patients, but not in patients with sepsis. The predictive values of Cys C for AKI are similar in patients with cardiac failure or sepsis.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2019
["Five-minute emergency life chain" centering on department of emergency and intensive care unit patients: experience in the integration of department of emergency and intensive care unit of Yichang Central People's Hospital in Hubei Province].
Yichang Central People's Hospital is a large prefecture-level tertiary hospital in Hubei Province. Since the late foundation and interdisciplinary characteritics, the department of emergency and critical care medicine faced many difficulties during development. Based on the actual situation of the hospital, leaders of the hospital and two disciplines advocated their core values of "putting patients' interests first and building team spirit". ⋯ The concept of "5-minute emergency life chain" was proposed, which highlighted the status and role of the department of emergency and critical care medicine in modern medical rescue and modern general hospitals. In the past 5 years, the emergency department and intensive care unit have made rapid development, including successful establishment of national demonstration centers for chest pain and stroke. Quality of the discipline has also been greatly improved, and a new construction path of department of the emergency and critical care medicine has been created.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2019
Meta Analysis[Effect of preoxygenation and apnoeic oxygenation during intubation in the critically ill patients: a network Meta-analysis].
To systematic review the effect of preoxygenation (PreOx) and apnoeic oxygenation (ApOx) during intubation in the critically ill patients by network Meta-analysis. ⋯ (HFNC+NIV)p+HFNCa should be of a priority choice for critically ill patients during intubation.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2019
[Optic nerve sheath diameter and eyeball transverse diameter as a useful tool for the clinical prognosis in patients with stroke during hospitalization].
To evaluate the prognostic value of ultrasonographic measurement of optic nerve sheath diameter (ONSD) and ONSD/eyeball transverse diameter (ETD) ratio in stroke patients during hospitalization. ⋯ ONSD and ONSD/ETD were significantly correlated with the prognosis of critical patients with stroke. The mortality increased significantly in patients with an ONSD greater than 5.0 mm and ONSD/ETD greater than 0.25. ONSD and ONSD/ETD may be promising tools for early assessment of clinical outcomes in these patients.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Oct 2019
[Effects of uncoupling protein 2 overexpression on myocardial mitochondrial dynamics in sepsis rats].
To investigate the effects of uncoupling protein 2 (UCP2) overexpression on mitochondrial dynamics (mitochondrial division and fusion) of sepsis myocardial injury in rats. ⋯ UCP2 overexpression can significantly improve the systemic systolic function of myocardium in sepsis rats, protect myocardial mitochondrial ultrastructure, inhibit mitochondrial division, and improve mitochondrial ATP synthesis.