Zhonghua wei zhong bing ji jiu yi xue
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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.
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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.
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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.
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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.
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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.