Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2015
[Assessment of fluid volume in critically ill patients with extravascular lung water index].
To examine the effect of rapid infusion test guided by extravascular lung water index ( EVLWI ) on hemodynamics in critically ill patients at different states in order to guide volume resuscitation. ⋯ Rapid fluid replacement in critically ill patients with crystalloid, regardless of whether the EVLWI was normal or increased, the short-term response was affected by the volume and cardiac function of patients. Different status of patients showed different volume effect curve: no significant changes in hemodynamic parameters were found in patients with normal EVLWI and volume parameters. In patients with potential cardiac dysfunction, CI and EVLWI increased significantly; regardless of PVPI increased or normal, EVLWI and CI were increased in patients with elevated EVLWI; two different changes could be found in the two types of pulmonary edema while ITBVI was increased.
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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
[Value of detection of pentraxins 3 value combined with measurement of vascular lung water index in prognosis of patients with sepsis].
To evaluate prognostic value of pentraxin3 ( PTX3 ) content combining with extravascular lung water index ( EVLWI ) in patients with sepsis. ⋯ PTX3 can serve as a novel prognostic indicator at early stage in septic patients. Combined with EVLWI, it shows important value in predicting prognosis of septic patients, and it also provides guidance in treatment of high-risk patients.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2015
[Early predictive value of hemodynamic parameters during fluid resuscitation in patients with sepsis shock].
To investigate the short term predictive value of hemodynamic parameters during fluid resuscitation in patients with septic shock. ⋯ PiCCO monitoring indicators such as EVLWI, PVPI and MAP have certain prognostic value for septic patients, but only EVLWI at 6 hours after fluid resuscitation is an independent prognostic factor for short term prognosis.