Zhonghua wei zhong bing ji jiu yi xue
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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.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2015
[Value of pulse indicator continuous cardiac output monitoring of cardiac function in septic shock patients: a prospective study].
To investigate the value of employing pulse indicator continuous cardiac output ( PiCCO ) for cardiac function monitoring in patients with severe septic shock. ⋯ With the use of the PiCCO hemodynamic monitoring in patients with severe septic shock, more comprehensive values of blood volume, systemic vascular resistance and cardiac function can be obtained for guiding fluid resuscitation and selection of vasopressor and inotropic drugs.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2015
[Influence of fluid loading in patients at different stages of septic shock: a prospective study].
To explore the influence of fluid loading at different stages in patients with septic shock. ⋯ 48 to 72 hours might be the crucial period of occurrence of volume overload in patients with septic shock. Curtailing fluid infusion during this period might reduce the occurrence of pulmonary edema.