Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Dec 2019
[Evaluation of microcirculatory changes after bundle therapy and prognostic value by the ratio of transcutaneous oxygen pressure and transcutaneous carbon dioxide pressure in the treatment of septic shock].
To evaluate microcirculatory changes after bundle therapy and prognostic values of the ratio of transcutaneous oxygen pressure and transcutaneous carbon dioxide pressure (PtcO2/PtcCO2) in the treatment of septic shock. ⋯ Compared with the traditional metabolic parameters, the improvement of early microcirculatory perfusion in patients with septic shock can reflect the effect of bundle therapy. The PtcO2/PtcCO2 ratio at 6 hours of bundle therapy can be used as a new index to predict the prognosis of patients with septic shock which supports the monitoring and evaluation of microcirculation in the early stage of treatment in septic shock.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Dec 2019
[Incidence and mortality risk factors of acute kidney injury in critical ill pregnancies: a single center retrospective analysis].
To evaluate the incidence and mortality risk factors of pregnancy-related acute kidney injury (PR-AKI) in intensive care unit (ICU). ⋯ The incidence and mortality of PR-AKI of critically ill pregnancies in ICU are high. Increased age, Lac, APACHE II score and SOFA score are independent risk factors associated with the mortality of PR-AKI patients in ICU, and have good predictive values for prognosis.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Dec 2019
[Changing laws of rest energy expenditure in critically ill patients and the intervention effect for nutritional support: a prospective study].
To investigate the changing laws of rest energy expenditure (REE) in intensive care unit (ICU) patients and the intervention effect for nutritional support. ⋯ Indirect calorimetry can more accurately grasp the changing laws of REE in critically ill patients. Nutritional support with REE value can make relevant nutritional indicators as good as possible, and reduce insulin dosage, shorten vasopressor use time, the length of ICU stay and mechanical ventilation time, but does not change the 28-day mortality.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Dec 2019
[Analysis of intestinal patients' flora changes with severe pneumonia based on 16SrDNA sequencing technology].
To investigate the characteristics of gut microbiota dysbosis in patients with severe pneumonia using 16SrDNA sequencing. ⋯ Gut microbiota dysbiosis in patients with severe pneumonia shows that the abundance and diversity decrease, structure of intestinal flora changes, and beneficial symbiotic bacteria decrease and pathogenic bacteria increase, which may be associated with the occurrence and development of severe pneumonia.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Dec 2019
[Relationship between albumin supply and prognosis in mechanically ventilated patients: a retrospective analysis].
To investigate the relationship between enteral nutrient albumin supply and prognosis in patients with mechanical ventilation. ⋯ Under the condition of standard enteral nutritional calories, increased of the albumin supply can improve the clinical nutritional status of patients with mechanical ventilation, shorten mechanical ventilation time and hospital stay.