Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Mar 2014
Observational Study[Changes of left ventricular systolic and diastolic function and the diagnostic value of B-type natriuretic peptide in patients with sepsis].
To explore the diagnostic value of transthoracic echocardiogram (TTE) and/or plasma B-type natriuretic peptide (BNP) for left ventricular (LV) systolic dysfunction and/or LV diastolic dysfunction in septic patients. ⋯ TTE may uncover septic patients whose LV diastolic dysfunction occurs earlier and reverses later than systolic type. And it may also participate in systolic dysfunction. The levels of BNP, probably as an adjustment to LV function, are more closely aligned with the severity of septic LV diastolic dysfunction. The combined application of TTE and plasma BNP appears to be efficacious for dynamically assessing cardiac function in septic patients.
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Zhonghua yi xue za zhi · Mar 2014
Observational Study[Application of conscious sedation with dexmedetomidine and sufentanil in patient for plastic surgery].
To observe the effectiveness of conscious sedation with dexmedetomidine and sufentanil in patients for plastic surgery. ⋯ Conscious sedation with dexmedetomidine and sufentanil is an effective anesthetic technique in patients for plastic surgery.
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Zhonghua yi xue za zhi · Mar 2014
[Association of perioperative transfusion and postoperative complications after radical gastrectomy for gastric cancer].
To explore the association of perioperative homologous blood transfusion (packed red blood cell, PRBC) and postoperative complications after radical gastrectomy in patients with gastric cancer. ⋯ Perioperative blood transfusion is significantly associated with postoperative complications after radical gastrectomy in patients with gastric cancer. And a positive correlation exists between infection and the amount of transfused blood. But there was no association between transfusion time and complications. Thus decreasing perioperative transfusion may reduce the incidence of postoperative complications and shorten the length of hospital stays.
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To explore the nature history of amyotrophic lateral sclerosis (ALS) including type at onset, involvement of region, patterns of spread, survival time and prognosis. ⋯ The patients with combined type onset, shorter time of interval from onset to involvement of a second region, early involvement of bulbar and respiratory functions are associated with poor prognosis. Lower limb and younger age onset may achieve a better survival.
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Zhonghua yi xue za zhi · Mar 2014
[Activity of factor VII in patients with isolated blunt traumatic brain injury: association with coagulopathy and progressive hemorrhagic injury].
To explore the relationship of the activity of plasma FVII with isolated blunt traumatic brain injury and progressive hemorrhagic injury. ⋯ Decreased activity of FVII is closely correlated with coagulopathy in patients with isolated blunt traumatic brain injury. And coagulopathy and decreased FVII activity are predisposing risk factors independently associated with progressive hemorrhagic injury.