Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2020
[Relationship between the timing of initiation of continuous renal replacement therapy and the prognosis of patients with sepsis-associated acute kidney injury].
To investigate the relationship between the timing of initiation of continuous renal replacement therapy (CRRT) and the prognosis of patients with sepsis associated-acute kidney injury (SA-AKI). ⋯ Early initiation of CRRT treatment in SA-AKI patients can reduce the duration of CRRT, but has no effect on length of ICU stay, total length of hospital stay, renal function recovery and mortality. At present, the optimal timing for initiation of CRRT in patients with SA-AKI remains unknown.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2020
[Value of blood ammonia on predicting the severity and prognosis of patients with sepsis: a prospective observation study].
To investigate the value of arterial blood ammonia on predicting the severity and prognosis of patients with sepsis. ⋯ The level of arterial blood ammonia could somehow indicate the severity and prognosis of sepsis, which could provide evidence for the treatment.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2020
[Follow-up results of 117 discharged patients with coronavirus disease 2019 in Wuhan Mobile Cabin Hospital].
To follow up the cured and discharged patients with coronavirus disease 2019 (COVID-19) from Wuhan Mobile Cabin Hospital and investigate their epidemiological and clinical characteristics as well as 2019 novel coronavirus (2019-nCoV) nucleic acid test results, so as to provide evidence for epidemic prevention and control. ⋯ Some patients with COVID-19 in Wuhan Mobile Cabin Hospital who were re-positive with 2019-nCoV nucleic acid after discharge did not cause further transmission. Moreover, the patients with re-positive nucleic acid results were not significantly correlated with their length of hospital stay and the presence of clinical symptoms after discharge as well as CT findings. It is recommended to detect feces or other specimens in discharged patients, and to strengthen the regular monitoring and follow-up of discharged patients.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2020
[Inferior vena cava diameter combined with lung ultrasound B-line score to guide fluid resuscitation in patients with septic shock].
To compare the effect of goal-directed fluid resuscitation and bedside ultrasound-guided fluid resuscitation in patients with septic shock, and to evaluate the application value of bedside ultrasound in fluid resuscitation of patients with septic shock. ⋯ Bedside ultrasound protocol combined inferior vena cava diameter with lung ultrasound B-line score can be used to guide fluid resuscitation in patients with septic shock, the total fluid infusion is decreased and the risk of oxygenation deterioration is reduced.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Nov 2020
Meta Analysis[Distal perfusion cannulae in preventing limb ischemia in venous-arterial extracorporeal membrane oxygenation: a Meta-analysis].
To evaluate the effect of distal perfusion catheter (DPC) on the incidence and prognosis of venous-arterial extracorporeal membrane pulmonary oxygenation (VA-ECMO) arterial catheter-related limb ischemia. ⋯ DPC can reduce the incidence of catheter-related limb ischemia in patients with VA-ECMO. Due to the small amount of studies and the influence of population heterogeneity and other factors, more large-sample and high-quality randomized controlled trial (RCT) studies are still needed.