Zhonghua wai ke za zhi [Chinese journal of surgery]
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Zhonghua Wai Ke Za Zhi · Feb 1997
[Relation of continuous ICP, CPP monitoring with prognosis for severe brain injury].
We analysed the treatment results of two groups of patients. Group I included 50 patients with severe brain injury with GCS 3-8, on whom continuous intracranial pressure (ICP) and cerebral perfusion pressure (CPP) monitoring was performed and Group II included 50 cases of similar patients, on whom no continuous ICP monitoring was performed. ⋯ Group II patients received the same intervention based on clinical observations, but they had relatively worse results. We are of the opinion that continuous ICP and CPP monitoring for severe brain injury patients helps find proper treatments and reduce mortality.
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Zhonghua Wai Ke Za Zhi · Jan 1997
[Splenic artery embolization for the treatment of traumatic splenic rupture].
We used splenic artery gelfoam embolization to save the spleen Seldinger's method in 20 patients with traumatic rupture of the spleen. All patients had the spleen reserved by single embolizing hemostasis satisfactorily. We delineate the method, clinical value, indication and experience of embolism-hemostasis in detail.
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Zhonghua Wai Ke Za Zhi · Dec 1996
[Preliminary study of colloid osmotic pressure for cardiopulmonary bypass].
The ideal colloid osmotic pressure is beneficial to decrease the fluid accumulated in the pulmonary and other tissue during cardiopulmonary bypass. Schupbach reported the proper colloidosmotic pressure for cardiopulmonary bypass was 2.1 kPa (16 mmHg). Colloid osmotic pressures of blood and priming fluid during cardiopulmonary bypass were measured in 28 patients with heart disease by using colloid osmotic pressure detection apparatus. ⋯ Whole blood and plazma are not suitable for increasing colloid osmotic pressure. Hydroxyethyl starch or Gelofusine is best choice in priming to get designed standard of colloid osmotic pressure. The ratio of hydroxyethyl starch or Gelofusine in priming fluid should beyond 1/2.
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Zhonghua Wai Ke Za Zhi · Sep 1996
[The roles of Kupffer cell (KC) in reduction of post burn catabolism in early enteral feeding].
This study aimed to know the roles of Kupffer cells in post burn catabolism. Rats sustained with 30% III degrees flame burns of TBSA were divided randomly into early feeding (EF) group given gastroenteral feeding beginning from 2 hours postburn (n = 45), and delayed feeding (DF) group given the same nutritional solutions but starting on PBD3 (n = 45). Another 15 rats were served as normal controls (NS) without burning. ⋯ KCs may play one of the key roles in the "gut derived hypermetabolism". Early enteral feeding can enhance the barrier function of intestinal mucosa and prevent the translocation of endotoxin from gut to blood stream in some extent. Early enteral feeding can reduce catabolism via the modulation of hyperactivity of Kcs and the decrease of excessive secretion of catabolic hormones.
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Zhonghua Wai Ke Za Zhi · Aug 1996
[The angiographic classification and endovascular therapy of the vein of Galen aneurysmal malformation].
We treated 11 cases of the vein of Galen aneurysmal malformation, one of which was diagnosed by MRI only, and 10 underwent CAG diagnostic procedure. Among the 10 CAG diagnosed cases, 5 were classified as the vein of Galen aneurysmal malformation (VGAM) with the AV shunt directing to the vein of Galen. ⋯ For VGAD, the primary AVM or AVF were embolized. The pathphysiology, angiographic characteristics, classification and the principle of endovascular therapy of the vein of Galen aneurysmal malformation were discussed.