Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Feb 2014
Observational Study[Prognostic and stratified value of adrenomedullin in community acquired pneumonia patients in emergency department].
To evaluate the prognostic and stratified value of adrenomedullin (AM) in community acquired pneumonia (CAP) patients in the emergency department (ED). ⋯ AM is valuable for prognosis and stratification of CAP patients in ED. Combination of AM and CURB-65 score is useful for the diagnosis of SCAP. Combination of AM and PSI score improves the prognostic performance in predicting 28-day mortality.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Feb 2014
Randomized Controlled Trial Multicenter Study[A multicenter randomized controlled trial of sufentanil for analgesia/sedation in patients in intensive care unit].
To evaluate the sedation and analgesia power and security of sufentanil in intensive care unit (ICU), and to compare the effect with fentanyl. ⋯ Compared with fentanyl, the analgesia efficacy of sufentanil is stronger. Sufentanil has less physiological interference and lower incidence of adverse reactions for ICU patients.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Feb 2014
[The prognostic value of extravascular lung water index in patients with acute respiratory distress syndrome].
To evaluate the relationship between extravascular lung water index (EVLWI), pulmonary vascular permeability index (PVPI) and the severity categories defined by the Berlin definition, and investigate the prognostic value of EVLWI in patients with acute respiratory distress syndrome (ARDS). ⋯ Combining the Berlin definition with EVLWI and PVPI, the severity of ARDS can be assessed accurately. Dynamic observation of EVLWI can be one of prognostic factors in the patients with ARDS.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Feb 2014
Case Reports[A report of first fatal case of H10N8 avian influenza virus pneumonia in the world].
To report the treatment process of the first case of human pneumonia resulted from H10N8 avian influenza virus infection in the world for providing the data for clinical diagnosis and treatment. ⋯ Human infection with H10N8 avian influenza was not exactly the same as that of H7N9. It was difficult to get true information from the conventional laboratory examinations, while the clinical characteristic and epidemiology were essential for the diagnosis. Referring to the treatment regime for human infection with H7N9 avian influenza virus, therapeutic dose of neuraminidase inhibitors could not reverse deterioration of pulmonary pathology. Chinese CDC found that the risk of human infection and transmission of H10N8 avian influenza virus through personal contact was low.