Zhonghua nei ke za zhi
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Zhonghua nei ke za zhi · Jul 2009
[The prognosis value of B-type natriuretic peptide testing in critically ill non-cardiogenic patients].
B-type natriuretic peptide (BNP)have been used widely in the diagnosis and prognosis of cardiogenic diseases, but the association between BNP concentrations and non-cardiogenic critical illness is unknown. Our study aims at investigating the role of natriuretic peptide testing for predicting 28-day mortality of non-cardiogenic critically ill patients in emergency department (ED). ⋯ BNP concentrations at presentation are strong predictor of 28-day mortality in patients with non-cardiogenic critically ill patients in ED, which is better than Rapid Acute Physiology Score (RAPS) , Rapid Emergency Medicine Score (REMS) and APACHE II score.
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Zhonghua nei ke za zhi · May 2009
[Current status of prevention and management of chronic obstructive pulmonary disease in rural area in China].
To investigate the current status of prevalence, prevention and management of chronic obstructive pulmonary disease (COPD) in rural area in China. ⋯ There was high prevalence and poor prevention and management for COPD in rural areas. Therefore, an enforced prevention and management for COPD are urgent.
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Zhonghua nei ke za zhi · Apr 2009
[The clinical significance of noninvasive inflammatory markers in exhaled breath condensate and induced sputum in persistent asthmatic patients].
To assess the clinical significance of three different noninvasive airway inflammatory indices in induced sputum and exhaled breath condensate (EBC) from persistent asthmatic patients. ⋯ (1) Combined therapy with inhaled corticosteroid plus long-acting beta(2) agonist significantly improves the clinical symptoms and lung function of patients with moderate and severe asthma companies with marked suppression of airway inflammation. (2) Both of EBC and induced sputum sampling are valuable noninvasive procedures for detecting asthma airway inflammation, however, EBC technique is superior in safety and reproducibility. (3) H(2)O(2) and NO(3)(-)/NO(2)(-) seem to be more sensitive indices in diagnosis and monitoring asthma compared to LTE(4).
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Zhonghua nei ke za zhi · Mar 2009
Randomized Controlled Trial[The value of serum procalcitonin in treatment of community acquired pneumonia in outpatient].
To evaluate the value of serum procalcitonin (PCT) on antibiotic use in treatment of community acquired pneumonia (CAP) in outpatient. ⋯ PCT could be used in treatment of CAP for antibiotic use in outpatient, which may reduce antibiotic use, shorten antibiotic duration and lower costs of antibiotic.
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Zhonghua nei ke za zhi · Mar 2009
[The role of galactomannan detection in the diagnosis of invasive pulmonary aspergillosis in critically ill patients].
To evaluate the usefulness of serum galactomannan (GM) for the diagnosis of invasive pulmonary aspergillosis (IPA) in critically ill patients. ⋯ These results show that GM test is useful for early diagnosis IPA in critically ill patients. Differences in patient selection and diagnosis might account for the disparities seen for positive rate and sensitivity for the GM test. It has been higher sensitivity and ODI in the patient treated by immunosuppressive agents.