Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Nov 2007
Controlled Clinical Trial[Changes of blood coagulative and fibrinolytic system and function of pulmonary vascular endothelium after therapy in patients with acute pulmonary thromboembolism].
To study the changes of blood coagulative and fibrinolytic system and the function of pulmonary vascular endothelium in the course of acute pulmonary thromboembolism (PTE) and after anticoagulant or thrombolytic treatment. ⋯ Apparent imbalance in the blood coagulative and fibrinolytic system and pulmonary vascular endothelium damage occur in the patients with acute PTE. Combination tests of plasma D-D, AT-III, PS, PC, TM, t-PA and PAI-1 can give a more comprehensive explanation of the imbalance in the blood coagulative and fibrolytic system. Anticoagulant treatment and thrombolytic treatment play important roles in the regulation of the imbalance of coagulative and fibrinolytic system and protection of the function of pulmonary vascular endothelium of PTE patients.
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Zhonghua yi xue za zhi · Nov 2007
[Minimally invasive surgery of pelvic-acetabular fractures with fluoro-navigation].
To investigate the clinical application of fluoro-navigation in the surgery for pelvic fractures. ⋯ Fluoro-navigation-assisted operation for the pelvic and acetabular fracture makes the surgery more precise, safer, and time-saving with less X-ray exposure.
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Zhonghua yi xue za zhi · Nov 2007
[Clinical features and strategies for treatment of spinal fracture complicating ankylosing spondylitis].
To explore the clinical features and strategies for treatment of spinal fracture complicating ankylosing spondylitis (AS). ⋯ The cervical fracture in AS patient tends to be unstable, and conservative treatment cannot get better outcome. Prompt anterior or posterior stabilization can achieve reconstruction of spinal stability and fracture union. Thoracolumbar fracture patients without kyphosis deformity can be treated with anterior debridement and fusion with autogenous bone grafting. The transpedicular osteotomy technique can be used in patients with fracture or pseudoarthrosis with kyphotic deformity in AS, which can not only correct the kyphosis deformity, but also facilitate the union of fracture simultaneously. After posterior osteotomy, in order to prevent the intervertebral disc space anteriorly opening, which may result in deficiency of anterior column, anterior fusion with autogenous bone grafting is needed to strut anterior column and to prevent failure of correction.
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Zhonghua yi xue za zhi · Oct 2007
[The effects of different ventilatory modes and spontaneous breathing after recruitment maneuver in acute respiratory distress syndrome. Experiment with dogs].
To investigate the role of different ventilatory modes and spontaneous breathing (SB) in prevention of derecruitment in acute respiratory distress syndrome (ARDS). ⋯ PCV with spontaneous breathing activity can offset the effect of antiderecruitment for lower PEEP; it would be more safe and effective than VCV.
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Zhonghua yi xue za zhi · Oct 2007
[Impact of pulmonary hypertension on early hemodynamics after orthotopic heart transplantation].
To determine the influence of normal pulmonary artery pressure, and mild to moderate and severe pulmonary hypertension on the early hemodynamics, morbidity, and mortality after orthotopic heart transplantations. ⋯ The patients with severe PH pre-operatively have significantly lower pulmonary resistance and pressure, and have more complications, such as acute right heart failure, post-operatively. Active treatment with cardiac stimulant and diuretics is helpful. Smooth anesthetic induction and maintenance, peri-operative stable hemodynamic managements, especially the protection of right ventricle function for the first 2 weeks after the transplantation, myocardial protection of donor heart, and immunosuppressive regimen all play important roles for successive heart transplantation.