Zhonghua yi xue za zhi
-
Zhonghua yi xue za zhi · Nov 2015
[Application value of four different questionnaires in the screening of patients with obstructive sleep apnea].
To evaluate the clinical utility of four questionnaires of Berlin, STOP, STOP-Bang (SBQ) and Epworth Sleepiness Scale (ESS) in the screening of patients with obstructive sleep apnea (OSA). ⋯ Compared to the PSG, SBQ questionnaire has the highest sensitivity, but lower specificity; in contrast, Berlin questionnaire may have better accuracy.
-
Zhonghua yi xue za zhi · Nov 2015
Randomized Controlled Trial[Pulmonary ultrasound guidance of congenital heart disease postoperative ventilator applications].
To investigate the pulmonary ultrasound in children with congenital heart disease postoperative invasive ventilator time, non-invasive ventilator use the guide. ⋯ Postoperative children with congenital heart disease using pulmonary ultrasound evaluation of pulmonary interstitial edema,guide the ventilator, it can effectively shorten (invasive and noninvasive mechanical ventilation time and ICU length of hospital stay, lung ultrasound has instant, noninvasive, No radiation, repeatable,pulmonary ultrasound will be important after cardiopulmonary bypass interstitial lung edema diagnosis, evaluation of treatment means and helps to treat critically ill children.
-
Zhonghua yi xue za zhi · Oct 2015
[Investigation on the predictive value of the dynamic changes of EVLWI and PVPI on the prognosis of ARDS patients].
To investigate the dynamic changes of extra vascular lung water index (EVLWI) and pulmonary vascular permeability index (PVPI) on the prognosis of acute respiratory distress syndrome (ARDS), and predict the risk factors affecting prognosis of ARDS. ⋯ The continuous dynamic observation of EVLWI and PVPI changes is better than that of a single detection. DeltaEVLWI and DeltaPVPI are independent risk factors and can be used as an auxiliary indicator for the prognosis of patients with ARDS.
-
Zhonghua yi xue za zhi · Oct 2015
[Effect of transpulmonary pressure-directed mechanical ventilation on respiration in severe acute pancreatitis patient with intraabdominal hypertension].
To assess the effect of mehanical ventilation (MV) guided by transpulmonary pressure (Ptp) on respiratory mechanics and gas exchange in severe acute pancreatitis patient with intraabdominal hypertension. ⋯ Transpulmonary pressure-directed mechanical ventilation in ARDS secondary to severe acute pancreatitis patient with intraabdominal hypertension could not only recruit the collapsed alveoli, improve lung compliance, increase oxygenation index and decrease dead space ventilation but also monitor lung stress to avoid alveoli overinflation, which might be lung protective.
-
Zhonghua yi xue za zhi · Oct 2015
[Altered cortical and subcortical local coherence in migraine with and without aura:evidence from resting-state fMRI].
To compare the interictal spontaneous brain activity between migraine without aura (MwoA) patients, Migraine with visual aura (MA) patients and healthy control subjects in order to provide further insights into the complex migraine pathophysiology. ⋯ The results suggest that the resting-state abnormalities of these regions may be associated with functional impairments in pain processing in migraine.Specifically, the results of brain regions may reflect both the similarities and differences of pathophysiological mechanisms relative to the major subtypes of migraine.