Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2019
Randomized Controlled Trial[Application value of resting energy monitoring in nutritional support therapy for mechanical ventilation patients].
To investigate the value of resting energy expenditure (REE) monitoring in nutritional support therapy of critical patients on mechanical ventilation. ⋯ The energy metabolism rule of critical patients on ventilation could be determined by using the accurate metabolic vehicle and dynamic monitoring of REE value, which could be used for the implementation of nutritional support therapy.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2019
[Blockade of programmed death-ligand 1 attenuates indirect acute lung injury in mice through targeting endothelial cells but not epithelial cells].
To examine the expression profile of programmed death-ligand 1 (PD-L1) on lung endothelial or epithelial cells, and to determine the specific role of PD-L1 in mouse model of indirect acute lung injury (i-ALI). ⋯ PD-L1 silencing on endothelial cells but not epithelial cells protected mice against hemorrhagic shock-sepsis induced i-ALI.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2019
Comparative Study[Comparison of differences in cardiac functions of cardiac arrest model rats induced by asphyxia and trans-oesophageal pacing].
To compare the differences in cardiac functions and myocardial injury between asphyxia and trans-oesophageal pacing induced rat cardiac arrest models. ⋯ The cardiac function after cardiac arrest-CPR was decreased in both asphyxia group and electrical stimulation group, but electrical stimulation had a heavier cardiac function injury than asphyxia.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2019
[Analysis on distribution and drug resistance of pathogen caused community-onset bloodstream infection].
To investigate the distribution and drug resistance of pathogen caused community-onset bloodstream infection (COBSI) in patients of affiliated hospital of university, and to provide evidence for the clinical therapy. ⋯ Escherichia coli and Klebsiella pneumoniae were the main pathogens of emergency COBSI, ESBLs-producing Escherichia coli were more common, and the average annual drug resistance rate to common clinical antibiotics was increasing. The drug resistance of ESBLs-producing Escherichia coli and Klebsiella pneumoniae was more serious than that of ESBLs-producing negative pathogens, so antibiotics should be used rationally.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jan 2019
[Integration of clinical pathway construction and hospital information system in intensive care unit is the core of digitalized hospital: experience of clinical pathway construction in Liuzhou Worker's Hospital from 2016 to 2018].
To explore the effective strategies of clinical pathway construction in intensive care unit (ICU). ⋯ Application of clinical pathway to control ICU quality and guide diagnosis and treatment, more refined diagnosis and treatment schemes including clinical guidelines, average length of stay, average cost of hospitalization, cost-efficiency ratio and so on were completed, which confirmed that the improvement of clinical pathway management strategy originated from clinical were needed. Informatization, intellectualization, standardization and effective control of medical cost of clinical pathway could improve medical quality and accurate management. The integration of ICU clinical pathway construction and HIS could promote the development of digital hospitals.