Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Feb 2006
[Clinical study of serum lipopolysaccharide-binding protein and soluble CD14 in severe sepsis patients].
To investigate the changes in serum lipopolysaccharide binding protein (LBP) and soluble CD14 (sCD14) levels in severe sepsis patients, and their relationship with severity and prognosis of patients. ⋯ Significantly elevated serum concentrations of LBP and sCD14 are found in severe sepsis patients. LBP level reflects mainly systemic inflammatory response induced by LPS, and it cannot be used as an indicator of severity of sepsis and prognosis of the patient. In contrast, serum sCD14 level may be used as a prognostic marker in severe sepsis, as it can reflect the severity of sepsis in certain degree.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jan 2006
[Relationship between trauma score and complications and interventions of traumatic patients in department of emergency medicine].
To investigate the relationship between trauma score (TS) and complications and interventional strategies in trauma patients in the Emergency Department. ⋯ TS provides an objective value to indicate the seriousness of the patient's condition, and it is valuable to the attending to plan the strategies of intervention, monitoring and necessary instrumental examinations.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jan 2006
Randomized Controlled Trial[Effect of intravenous patient-controlled intravenous analgesia with small dose of ketamine during shock stage on cytokine balance in patients with severe burn].
To investigate the influences of patient-controlled intravenous analgesia (PCIA) with small dose of ketamine solely or combined with fentanyl during shock stage on cytokine balance in patients with severe burn. ⋯ Patient-controlled intravenous analgesia with small doses of ketamine or combined with fentanyl during shock stage in patients with severe burn give efficient and safe pain relief, and cytokine balance.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Dec 2005
Randomized Controlled Trial[Clinical study of low molecular weight heparin therapy for sepsis].
To investigate the therapeutic effect of low molecular weight heparin (LMWH) therapy on sepsis. ⋯ LMWH can ameliorate sepsis by down-regulating the levels of pro-inflammatory cytokines, and suppressing the release of oxygen-derived free radicals. It is a promising treatment measure in sepsis patient with safety and no severe side effects.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Dec 2005
[Study of continuous blood purification in severe pneumonia patients with multiple organ failure].
To review retrospectively the effect of continuous blood purification (CBP) on septic shock with acute renal failure and respiratory failure as a result of severe pneumonia, and to analyze its relationship with prognosis. ⋯ (1) CBP is curative for some patients in septic shock with acute renal failure and respiratory failure as a result of severe pneumonia, with and overall survival rate of 28%. (2) APACHE III score is a sensitive index before and after CBP treatment, and scores of 90-100 may be taken as an indication for CBP. (3) High blood sugar and fibrinogen levels may be potential risk factors, in particular, a high fibrinogen level implies a poor prognosis.