Zhonghua nei ke za zhi
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Zhonghua nei ke za zhi · Nov 2008
[The role of central venous pressure to evaluate volume responsiveness in septic shock patients].
To investigate the clinical role of central venous pressure (CVP) to evaluate fluid responsiveness in septic shock patients. ⋯ In septic shock patients, CVP play a guidance role to predict and evaluate volume responsiveness and when CVP was > 11 mm Hg, a positive response will be less likely. Initial volumetric parameters (intrathoracic blood volume and global end-diastolic volume) play a questionable role in predicting and evaluating volume responsiveness, changes before and after volume challenge maybe helpful.
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Zhonghua nei ke za zhi · Aug 2008
Randomized Controlled Trial[Effect of continuous aspiration of subglottic secretions on the prevention of ventilator-associated pneumonia in mechanically ventilated patients: a prospective, randomized, controlled clinical trial].
To evaluate the effect of continuous aspiration of subglottic secretions (CASS) on the prevention of ventilator-associated pneumonia (VAP) in mechanically ventilated patients. ⋯ Effective continuous aspiration of subglottic secretions could significantly reduce the morbidity of early-onset VAP.
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Zhonghua nei ke za zhi · Jun 2008
[The clinical characteristics and prognosis of acute myocardial infarction complicated by cardiogenic shock].
To observe the effect of reperfusion therapy on the prognosis of acute myocardial infarction (AMI) complicated by cardiogenic shock (CS) in reperfusion era. ⋯ Early successful reperfusion and early institution of IABP were the most important therapeutic measures for reducing mortality of AMI complicated by CS.
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Zhonghua nei ke za zhi · Jun 2008
[The incidence and predictors of atrial fibrillation in hypertrophic cardiomyopathy].
To observe the incidence and predictors of atrial fibrillation in hypertrophic cardiomyopathy (HCM). ⋯ The incidence of atrial fibrillation in HCM was high. The medical history, LAD and BNP were the independent predictors of its occurrence.
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Zhonghua nei ke za zhi · Jun 2008
[WHO classification and cytogenetic analysis of 435 cases with myelodysplastic syndrome].
To investigate the WHO classification and cytogenetic characteristics of primary myelodysplastic syndrome (MDS) in adults of Shanghai area and then compare them with those of western countries. ⋯ The WHO subtype and chromosome abnormality distributions of MDS in Shanghai were different from those in western countries. The combination of FISH and conventional chromosome examination could improve the detection sensitivity.