Zhongguo yi xue ke xue yuan xue bao. Acta Academiae Medicinae Sinicae
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Feb 2005
[Role of procalcitonin in the differentiation and surveillance of systemic inflammatory response syndrome].
To evaluate the discrimination of serum procalcitonin (PCT) and interleukin-6 (IL-6) between patients with sepsis and non-infectious inflammatory response syndrome (SIRS) and the prediction power of clinical outcome. ⋯ PCT and IL-6 are more reliable indicators to differentiate sepsis and non-infectious SIRS than the conventional inflammatory markers, and correlate with the disease severity. PCT levels are significantly correlated with ICU length of stay.
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Feb 2005
Randomized Controlled Trial[Effect of neostigmine on atracurium-induced neuromuscular blockage in patients pretreated with magnesium sulphate].
To determine the effect of neostigmine on antagonizing atracurium-induced neuromuscular blockage with sulfate magnesium pretreatment. ⋯ Neostigmine-induced neuromuscular recovery can be attenuated in patients pretreated with magnesium sulfate.
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Feb 2005
[Gamma knife radiosurgery for cavernous malformations].
To evaluate the efficacy of Gamma knife surgery (GKS) in treating cavernous malformation (CM). ⋯ It is feasible to treat small and surgically high risk CMs by radiosurgery. The treatment has to be prudent in an acute bleeding and symptomatic progression. Optimal treatment timing and dose planning are prerequisites to reduce radiation-related complications. GKS is safe and effective to control the epilepsy caused by CMs, and also to bring down the rebleeding rate after a latency interval of several years.
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Feb 2005
[Cerebral revascularization in treatment of intractable aneurysms].
To evaluate the effectiveness of cerebral revascularization in the treatment of intractable aneurysms and to discuss the indications, surgical techniques, and the outcome of the revascularization. ⋯ Extracranial-to-intracranial bypass followed by parent vessel occlusion is a safe and effective method to treat intractable ICA aneurysms. Radical artery as graft can offer high-flow revascularization with less complications. Combined surgical and endovascular treatment might be the future direction for the treatment of the difficult aneurysms.
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Zhongguo Yi Xue Ke Xue Yuan Xue Bao · Feb 2005
[Clinical application of minimally invasive neuroendoscopic techniques].
To summarize and analyze the application of neuroendoscopic techniques in neurosurgery, and to discuss the role and significance of neuroendoscopic techniques in the diagnosis and treatment of neurosurgical diseases. ⋯ Clinical application of neuroendoscopic techniques can decrease the damage caused by pure open surgery operation. It is possible to resect lesions at the utmost and protect normal tissue from lesions for using EN and EAM or endoscopy-controlled microneurosurgery (ECM). It is also helpful to enhance surgical quality and, reduce the complications.