Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2020
[Inferior vena cava diameter combined with lung ultrasound B-line score to guide fluid resuscitation in patients with septic shock].
To compare the effect of goal-directed fluid resuscitation and bedside ultrasound-guided fluid resuscitation in patients with septic shock, and to evaluate the application value of bedside ultrasound in fluid resuscitation of patients with septic shock. ⋯ Bedside ultrasound protocol combined inferior vena cava diameter with lung ultrasound B-line score can be used to guide fluid resuscitation in patients with septic shock, the total fluid infusion is decreased and the risk of oxygenation deterioration is reduced.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2020
[Effectiveness of convalescent plasma for treatment of coronavirus disease 2019 patients].
To evaluate the effectiveness and safety of convalescent plasma therapy in patients with severe and critical coronavirus disease 2019 (COVID-19). ⋯ Viral NAA test of most patients with COVID-19 who received convalescent plasma transfusion turned negative from day 2 to day 8 after transfusion, and the turning time of severe patients was shorter than that of critical patients. Convalescent plasma therapy can reduce the patients' CRP level, and no adverse events were found during the treatment. The antibody concentration in the convalescent plasma may be one of the factors that affect the time for the nucleic acid turning negative after transfusion. Detection and screening convalescent plasma of high-titer antibody and early application to severe and critical patients are expected to improve the efficacy of convalescent plasma.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2020
Meta Analysis[Distal perfusion cannulae in preventing limb ischemia in venous-arterial extracorporeal membrane oxygenation: a Meta-analysis].
To evaluate the effect of distal perfusion catheter (DPC) on the incidence and prognosis of venous-arterial extracorporeal membrane pulmonary oxygenation (VA-ECMO) arterial catheter-related limb ischemia. ⋯ DPC can reduce the incidence of catheter-related limb ischemia in patients with VA-ECMO. Due to the small amount of studies and the influence of population heterogeneity and other factors, more large-sample and high-quality randomized controlled trial (RCT) studies are still needed.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2020
[Value of blood ammonia on predicting the severity and prognosis of patients with sepsis: a prospective observation study].
To investigate the value of arterial blood ammonia on predicting the severity and prognosis of patients with sepsis. ⋯ The level of arterial blood ammonia could somehow indicate the severity and prognosis of sepsis, which could provide evidence for the treatment.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2020
[Relationship between the timing of initiation of continuous renal replacement therapy and the prognosis of patients with sepsis-associated acute kidney injury].
To investigate the relationship between the timing of initiation of continuous renal replacement therapy (CRRT) and the prognosis of patients with sepsis associated-acute kidney injury (SA-AKI). ⋯ Early initiation of CRRT treatment in SA-AKI patients can reduce the duration of CRRT, but has no effect on length of ICU stay, total length of hospital stay, renal function recovery and mortality. At present, the optimal timing for initiation of CRRT in patients with SA-AKI remains unknown.