Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Mar 2015
[Effects on vascular permeability with different fluid resuscitation regimens during burn stage in swines].
To explore the effects of different fluid resuscitation regimens on vascular permeability during burn stage in swines. ⋯ Natural colloid or artificial colloid (HES 130/0.4 or succinylated gelatin) have similar effects on vascular permeability in swines with severe burns during shock stage. Both are superior to the Parkland group.
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Zhonghua yi xue za zhi · Mar 2015
[Microsurgical treatment of craniopharyngiomas: approaches in a series of 169 consecutive patients].
To explore the clinical features, surgical approaches and postoperative outcomes of craniopharyngiomas. ⋯ Selection of appropriate approaches according to morphological characteristics is essential for successful microsurgery of craniopharyngiomas.
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Zhonghua yi xue za zhi · Mar 2015
[Influence of different sevoflurane concentration on somatosensory evoked potentials monitoring in spinal cord surgery].
To evaluate the effects of different end-tidal concentrations of sevoflurane on somatosensory evoked potentials, to explore the feasibility of sevoflurane applied in such kind of surgery, so as to provide useful information in making anesthesia plan for spinal cord surgery. ⋯ Sevoflurane has depression effects on SSEPs in a dose-dependent manner. It can decrease the amplitudes and prolong the latencies. Considering significant individual difference, the feasibility of sevoflurane in such kind of surgery can be determined by measuring base amplitude of SSEPs under total intravenous anesthesia.
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Zhonghua yi xue za zhi · Feb 2015
[Efficacies of fluid resuscitation as guided by lactate clearance rate and central venous oxygen saturation in patients with septic shock].
To estimate the efficacies of fluid resuscitations as guided by lactate clearance rate (LC) and central venous oxygen saturation (ScvO₂) in patients with septic shock. ⋯ A combination of LC and ScvO₂may serve an index in confirming the endpoint of fluid resuscitation for patients with septic shock. Fluid resuscitation therapy under the guidance of LC and ScvO₂is more accurate and reliable than the guidance of ScvO₂alone.
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Zhonghua yi xue za zhi · Feb 2015
Randomized Controlled Trial Comparative Study[Comparative study on the treatment of acromioclavicular joint dislocation: coracoclavicular ligament reconstruction using lateral half of conjoined tendon or tractusiliotibialis with hook plate fixation].
To explore the clinical outcomes of acromioclavicular joint (ACJ) dislocation treated with coracoclavicular ligament (CCL) reconstruction using lateral half of conjoined tendon and tractusiliotibialis with hook plate fixation. Comparative study on their advantages and disadvantages in order to provide the materials for the clinic. ⋯ The efficacy of Rockwood type III acromioclavicular joint dislocation for reconstructing coracoclavicular ligament using tractusiliotibialis is better than conjoined tendon. The AC and CC distances increase after a removal of hook plates while it is more obvious for conjoined tendon tractusiliotibialis reconstruction.