Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Nov 2014
[Treatment of fixed atlantoaxial dislocation and basilar invagination with C1-2 screw and rod reduction and fixation technique].
To introduce a novel technique of reducing fixed atlantoaxial dislocation (FAAD) and basilar invagination (BI) with C1-C2 screw and rod system. ⋯ The C1-C2 screw and rod system may achieve effective reduction and fixation for FAAD and BI. Capable of preserving atlanto-occipital joints in patients without atlas assimilation, this procedure provide more solid immobilization than occipitocervical fusion in those with atlas assimilation.
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Zhonghua yi xue za zhi · Nov 2014
[Negative fluid balance predicts survival in patients with septic shock].
To explore the change of fluid balance in patients with septic shock for seven continuous days and examine its effect on clinical prognosis. ⋯ Cumulative net negative balance quantity of fluid in survivors was much more than that in non-survivors. SOFA score and net balance quantity of fluid at Day 7 were the independent prognostic risk factors for septic shock. Cumulative net fluid balance at Day 7 was most negatively correlated with survival days. No significant inter-group difference existed in organ function at Day 7.
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Zhonghua yi xue za zhi · Nov 2014
Randomized Controlled Trial[Sedative effects of dexmedetomidine in post-operative elder patients on mechanical ventilation].
To evaluate the efficacy and safety of dexmedetomidine for post-operative elder patients on mechanical ventilation (MV). ⋯ Sedative effects of dexmedetomidine are safe and effective for post-operative elder patients on MV. And it offers a better efficacy of analgesia and shorter durations of MV and recovery time. But dexmedetomidine had no significant influence on the ICU length of stay or the incidence of delirium.
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Zhonghua yi xue za zhi · Nov 2014
[Evaluation of pleth variability index for predicting hypotension during induction of anesthesia in surgical patients].
To evaluate the ability of pre-anesthesia pleth variability index (PVI) in supine and passive head raising (PHR) position at 30° for predicting hypotension during induction of anesthesia. ⋯ Pre-anesthesia PVI in PHR at 30° position may predict hypotension during induction with an acceptable accuracy. And this procedure is probably helpful for assessing high-risk patients susceptible to severe hypotension during induction.
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Zhonghua yi xue za zhi · Oct 2014
[Retrospective study of clinical features of neuromyelitis optica spectrum disease with connective tissue disease].
To explore the clinical features of neuromyelitis optica (NMO) spectrum disease (NMOSD) with connective tissue disease (CTD). ⋯ Female patients are more susceptible to have NMO/NMOSD with CTD. NMO/NMOSD-CTD patients tend to have higher percentage of CSF-restricted OB and fewer non-specific lesions on brain MRI. AZA and CTX may effectively reduce relapses in both NMO/NMOSD and NMO/NMOSD-CTD patients. However CTX is superior to AZA for reducing relapses in NMO/NMOSD-CTD patients.