Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Sep 2015
[The value of pro-adrenomedullin in early diagnosis of sepsis].
To explore the early diagnostic value of pro-adrenomedullin (pro-ADM) in sepsis. ⋯ The plasma levels of pro-ADM can be used as an early indicator in diagnosis and severity evaluation and prognosis in patients with sepsis.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Sep 2015
[Microbial characteristics in culture-positive sepsis and risk factors of polymicrobial infection in ICU].
To investigate the clinical characteristics and pathogenic microorganisms in culture-positive sepsis, to identify its risk factors, and evaluate the prognosis on polymicrobial infection in intensive care unit (ICU). ⋯ The most common pathogen of ICU sepsis is gram-positive cocci. Independent risk factors for polymicrobial infections were found to be advanced age, occurrence of cerebrovascular disease, prolonged mechanical ventilation, and recent hospitalization. Polymicrobial infection is associated with longer length of ICU and hospital stay, as well as higher mortality.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Sep 2015
[The value of passive leg raising test in predicting fluid responsiveness in patients with sepsis-induced cardiac dysfunction].
To assess the value of passive leg raising (PLR) test in predicting fluid responsiveness in patients with sepsis-induced cardiac dysfunction. ⋯ In patients with sepsis-induced cardiac dysfunction, changes in SV and CO induced by PLR are accurate indices for predicting fluid responsiveness, but the changes in HR, MAP, SBP and PP cannot predict the fluid responsiveness.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Aug 2015
Case Reports[Clinical analysis of the first patient with imported Middle East respiratory syndrome in China].
To report the treatment of the first imported Middle East respiratory syndrome ( MERS ) in China, and to investigate the clinical features and treatment of the patient. ⋯ The disease course of the reported patient was short, with an acute onset, with fever as the chief complaint, but there were no respiratory symptoms, though there were high fever, cough, shortness of breath, diarrhea and other clinical symptoms after admission. Virus in sputum disappeared after treatment, but pleural effusion was not completely absorbed. Negative test for virus in sputum was late, indicating that clearance of virus was slow from the lungs. It is the first case of MERS in China, therefore, the clinical manifestations and the treatment strategy need to be further explored.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Aug 2015
Meta Analysis[The effect of Xuebijing injection for severe acute pancreatitis: a Meta analysis].
To assess the efficacy and safety of Xuebijing injection for the treatment of severe acute pancreatitis ( SAP ). ⋯ The currently available evidence shows that Xuebijing injection may have some therapeutic effect on SAP. Because of the low methodological quality of the included trials, multi-center and high-quality RCTs with large sample sizes are needed to provide stronger evidence.