Zhonghua wei zhong bing ji jiu yi xue
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2013
Controlled Clinical Trial[The impact of early restrictive positive fluid balance strategy on the prognosis of patients with severe trauma].
To observe the impact of early restrictive positive fluid balance strategy on the prognosis of patients with trauma. ⋯ Using restrictive positive fluid balance strategy in the leakage stage of PTCLS, fluid positive balance volume, occurrence of dysfunction of some organs, mechanical ventilation and ICU stay time can be decreased.
-
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
[Fluid resuscitation strategy in septic shock following urinary infection with severe pulmonary capillary leakage].
To characterize septic shock following urinary infection with severe pulmonary capillary leakage, and to evaluate the fluid therapy on treatment of hypovolemic shock and the role of transpulmonary thermodilution technique with pulse induced continuous cardiac output (PiCCO) monitoring. ⋯ Successful management of septic shock following urinary infection with severe pulmonary vascular leakage is based on accurate assessment of blood volume status, especially the degree of EVLWI, emphasis on prevention of EVLWI increase, and adoption of conservative fluid resuscitation strategies according to hemodynamic monitoring parameters. PiCCO monitoring is a useful tool in assessment of the blood volume status and management of fluid resuscitation in patients with urinary lithotripsy-associated septic shock complicated with severe pulmonary edema.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2013
[The impact of initial fluid resuscitation with different ratio of crystalloid-colloid on prognosis of patients with severe acute pancreatitis].
To investigate the impact of fluid resuscitation with different ratio of crystalloid-colloid in early resuscitation stage on prognosis of patients with severe acute pancreatitis (SAP). ⋯ A suitable crystalloid-colloid ratio should be considered in the early stage of resuscitation in patients with severe acute pancreatitis, which would result in a decrease in the fluid retention in the third space as well as an improvement of survival rate in return. It is suggested that the middle ratio of crystalloid-colloid fluid resuscitation should be the optimal strategy.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2013
[Effects of intermittent high-volume hemofiltration in the treatment of patients with severe sepsis and septic shock].
To investigate the effects of intermittent high-volume hemofiltration (IHVHF) on 28-day survival in severe sepsis and septic shock patients. ⋯ For patients with severe sepsis and septic shock and complicated by acute renal failure or MOF, high dose IHVHF (≥ 70 ml×kg(-1)×h(-1)) was a protective factor against 28-day mortality for these patients, and prolongation of IHVHF treatment could decrease 28-day mortality.