Zhonghua wai ke za zhi [Chinese journal of surgery]
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Zhonghua Wai Ke Za Zhi · Sep 1993
[Changes on hemodynamics and oxygen delivery in patients with septic shock].
Since there are still some confusions in hemodynamics and changes of oxygen delivery (DO2) in septic shock which has a high mortality, the 40 septic shock patients were observed in hemodynamics and DO2 in general ICU of Peking Union Medical College Hospital. Both surviving group and nonsurviving group had their hyperdynaminc state in hemodynamics at the beginning of septic shock. In survivors, hemodynamics were back to normal range at the 4th day of septic shock. ⋯ The changes of O2 ext have a significance in prediction of outcome of septic shock. The current therapies for septic shock have remarkable limitation. So the new treatment methods of septic shock, not only to increases DO2, should be found out for improving the survival rate further.
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Twenty-seven cases of multiple noncontiguous spinal fracture were reported. The injury located mostly at thoracolumbar levels, and primary injuries occurred in thorax (n = 13, 50%), second injuries occurred in lumbus (n = 14, 53.8%). The cord function of 12 patients were Frankel A, 5 were C and 4 were D; five patients were normal (Frankel E). ⋯ There were 17 followed-up cases. Eight were recovered with Frankel 1 degree, 2 with 2 degree and 4 without change. The importance of correct diagnosis is emphasized and it is recommended that total spine radiography be performed as soon as possible.