Zhonghua wei zhong bing ji jiu yi xue
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2013
[Application of PiCCO monitoring in patients with neurogenic pulmonary edema].
To evaluate the application of pulse induced contour cardiac output (PiCCO) monitoring in patients with neurogenic pulmonary edema (NPE), and to assess the accuracy of capacity parameters such as intra thoracic blood volume index (ITBVI) and global end diastolic volume index (GEDVI) and pressure parameters such as central venous pressure (CVP) in estimating severity of NPE, and to assess the prognostic significance of extravascular lung water index (EVLWI) on patients with NPE. ⋯ Capacity parameters such as GEDVI, ITBVI can assess EVLWI of NPE patients accurately and reliably. In NPE patients, the higher the PVPI and EVLWI, the lower the PaO2 / FiO2. By dynamic observation of the trends of EVLWI in NPE patients, we are able to assess the prognosis of these patients.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2013
[Clinical value of extravascular lung water and preload parameters in weaning of mechanical ventilation in patients with septic shock].
To investigate the values of extravascular lung water and preload parameters of weaning from mechanical ventilation on patients with septic shock. ⋯ Increased EVLW is the reason of pulmonary edema caused by weaning in septic shock patients, to which both hydrostatic and pulmonary permeability may contribute, and the latter could be more important. Monitoring preload parameters could help distinguish the mechanism of pulmonary edema after weaning, which may be useful in treatment.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2013
Randomized Controlled Trial[The use of sodium bicarbonate in stages in treating hypoperfusion induced lactic acidemia in septic shock].
To explore the use of sodium bicarbonate in stages in treating hypoperfusion induced lactic acidemia due to septic shock. ⋯ The use of sodium bicarbonate in stages in treating hypoperfusion induced lactic acidemia as a result of septic shock can lower the occurrence rate of multiple organ dysfunction syndrome, time of mechanical ventilation, durations of stay in ICU and in hospital, and mortality.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2013
[Mean arterial pressure as an indicator of fluid responsiveness in patients with septic shock].
To assess the value of mean arterial pressure (MAP) as an indicator for fluid responsiveness in patients with septic shock. ⋯ MAP can be used as an indicator of fluid responsiveness when the initial value of MAP was at a relative low level (MAP≤65 mm Hg) in patients with septic shock.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2013
Randomized Controlled Trial[Treatment of lactic acidosis with early continuous blood purification].
To observe the therapeutic effect of early continuous blood purification (CBP) on lactic acidosis patients. ⋯ Early correction of lactic acidosis with CBP could reduce the mortality of lactic acidosis.