Zhonghua nei ke za zhi
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Zhonghua nei ke za zhi · Aug 2012
Randomized Controlled Trial[The effect of stress dose glucocorticoid on patients with acute respiratory distress syndrome combined with critical illness-related corticosteroid insufficiency].
To investigate the effect of stress dose glucocorticoid on patients with acute respiratory distress syndrome (ARDS) combined with critical illness-related corticosteroid insufficiency (CIRCI). ⋯ Stress dose glucocorticoid could reduce shock incidence and prolong survival time, and has a tendency of lower 28-day mortality in early ARDS patients combined with CIRCI.
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Zhonghua nei ke za zhi · Aug 2012
Comparative Study[The diagnostic values of Wells score and modified Geneva score for pretesting acute pulmonary embolism: a prospective study].
To assess the diagnostic predictive value of Wells score and modified Geneva score for acute pulmonary embolism by prospective case series and to explore a more suitable scoring system for Chinese population. ⋯ The Wells score is more accurate for clinical predicting acute PE than the modified Geneva score.
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Zhonghua nei ke za zhi · Aug 2012
[Titrating positive end-expiratory pressure after recruitment maneuver according to end-tidal carbon dioxide and its related indicators in acute respiratory distress syndrome dog model].
To investigate the relationship between end-tidal carbon dioxide with its related indicators and ventilation/perfusion of the acute respiratory distress syndrome (ARDS) lung, and to explore a feasible way to titrate positive end-expiratory pressure (PEEP) in clinical practice. ⋯ Closing pressure is in accordance with PEEP level after RM having reached the best ventilation/circulation ratio. The characteristics of lung collapse can be revealed by Vd/Vt% changes after RM. To titrate PEEP for the lowest Vd/Vt% after RM may be a feasible way to match the best ventilation and circulation effects of PEEP.