Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Apr 2014
[Prognostic outcomes of adherence to guideline of bundle therapy by key points of control strategies in septic shock patients].
To evaluate the improvement of clinical septic shock guideline of bundle therapy by key points of control strategies and its impact on the outcomes of septic shock patients. ⋯ The key points of control strategies can improve the clinical septic shock guideline of bundle therapy performance so that there are significant decreases of length of ICU stay and hospital mortality of septic shock patients.
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Zhonghua yi xue za zhi · Apr 2014
[Strengthened respiratory management for lower tracheostomy risks in patients with complete cervical spinal cord injury].
To access the feasibility of reducing tracheostomy rates in patients with complete cervical spinal cord injury through a systemic respiratory management mode. ⋯ The systemic respiratory management mode can effectively reduce tracheostomy rate of patients with complete cervical spinal cord injury and improve their survival rate.
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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.