Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2015
[The influence of hydroxyethyl starch on exogenous coagulation and active protein C in patients with septic shock].
To investigate the influence of hydroxyethyl starch solution on exogenous coagulation and active protein C ( APC ) in the patients with septic shock. ⋯ Both RL and hydroxyethyl starch fluid resuscitation did not affect the PT of the patients. The use of hydroxyethyl starch probably inhibits excessive activation of the exogenous coagulation and hyper-coagulation in the early stage of sepsis, and inhibits activation of protein C as well.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2015
[Retrospective analysis of the value of arterial blood lactate level and its clearance rate on the prognosis of septic shock patients].
To explore the prognostic value of arterial blood lactate ( Lac ) levels and lactate clearance rate ( LCR ) in the patients with septic shock. ⋯ Early high Lac in patients with septic shock prompts a poor prognosis, and 24-hour Lac levels and LCR are indicators of assessment of clinical therapeutic effect and prognosis of patients with septic shock.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2015
[A prospective clinical study of pleth variability index in prediction of volume responsiveness in patients with septic shock].
To evaluate the role of pleth variability index ( PVI ) by passive leg raising ( PLR ) test in volume responsiveness and volume status prediction in patients with septic shock. ⋯ PVI and SVV can better predict fluid responsiveness in mechanically ventilating patients with septic shock after PLR. PVI as a new continuous, noninvasive and functional hemodynamic parameter has the same accuracy as SVV.