Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Jan 2014
[A MRI study of lumbar plexus in patients with degenerative lumbar scoliosis after extreme lateral interbody fusion].
To analyze the magnetic resonance neural imaging distribution of lumbar plexus in patients with degenerative lumbar scoliosis and evaluate its value and the safety of extreme lateral interbody fusion (XLIF). ⋯ Lumbar plexus passes through psoas posteriorly to SCPL on both side at L1-2, L2-3 level and on the concave side at L3-4 level. And they shift anteriorly to SCPL on the convex side at L3-4 level and on both sides at L4-5 level. It indicates a ventral migration of lumbar plexus from L1-2 to L4-5 level. Preoperative magnetic resonance neural imaging is valuable for assessing the safety of XLIF approach. Operation from the concave may reduce the risk of injury to lumbar plexus.
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To explore the changes of renal hemodynamic in dogs with endotoxemic shock (ES) and their potential roles in acute kidney injury (AKI). ⋯ RBF is positively correlated with cardiac output in endotoxin shock. Renal pressure perfusion may decrease obviously without any noticeable change of renal flow perfusion. The shift of renal auto-regulation under pressure perfusion occurs at the early stage of septic shock.
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Zhonghua yi xue za zhi · Jan 2014
Randomized Controlled Trial[Effects of penehyclidine inhalation on postoperative pulmonary complications of elderly patients after long-duration surgery].
To explore the effects of penehyclidine inhalation on the incidence of pulmonary complications in elderly patients after long-duration surgery. ⋯ For elderly patients after long-duration surgery, a prophylactic atomizing inhalation of penehyclidine decreases the incidence of bronchospasm and the rate of aminophylline use after extubation.However, the overall incidence of pulmonary complications has no change.
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Zhonghua yi xue za zhi · Jan 2014
[The predictive value of plasma cystatin C for non-ST-elevation acute coronary syndrome treated with percutaneous coronary intervention].
To evaluate the prognosis value of plasma cystatin C in predicting adverse cardiac events after percutaneous coronary intervention (PCI) for non-ST-elevation acute coronary syndrome (NSTEACS). ⋯ High plasma cystatin C concentration is an independent predictor of major adverse cardiac events in patients with NSTEACS treated with PCI.
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Zhonghua yi xue za zhi · Jan 2014
[Factor analysis for the prognosis of perioperative cardiopulmonary resuscitation].
To provide guidance to implement effective perioperative cardiopulmonary resuscitation. ⋯ ASA IV-V, amount of bleeding more than 1500 ml, CPR duration more than 30 min, hypotension duration more than 30 min and pulseless electrical activity are the Independent risk factors of cardiopulmonary resuscitation.