Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2021
[Efficacy and safety of stress ulcer prophylaxis in septic patients: a retrospective cohort study based on large database].
To evaluate the effects and safety of stress ulcer prophylaxis (SUP) versus no prophylaxis in adult septic patients at risk of gastrointestinal bleeding (GIB). ⋯ Among critically ill adult patients with sepsis at risk for GIB, SUP showed no effect on reducing in-hospital mortality, the rate of GIB and CDI, but was associated with increased risk of secondary pneumonia and prolonged LOS.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2021
[Analysis of the effect of sequential high-flow nasal canula oxygen therapy in post-extubation mechanically ventilated patients in intensive care unit].
To observe the application effect of high-flow nasal canula oxygen therapy (HFNC) after extubation in patients with mechanical ventilation (MV) in the intensive care unit (ICU). ⋯ For MV patients in the ICU, the sequential application of HFNC after extubation can reduce the rate of weaning failure and the incidence of adverse events, shorten the length of ICU stay.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2021
[Risk factors and their predictive value for intensive care unit acquired weakness in patients with sepsis].
To explore the risk factors of intensive care unit acquired weakness (ICUAW) in patients with sepsis, and to evaluate the predictive value of each risk factor for ICUAW. ⋯ APACHE II score and average SOFA score can be used as independent risk factors for the occurrence of ICUAW in sepsis, and their combined predictive value is better than that of individual index.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Apr 2021
[Value of combined detection of biomarkers in early diagnosis and prognosis of patients with septic myocardial injury].
To investigate the value of combined detection of biomarkers in early diagnosis and prognosis of patients with septic myocardial injury. ⋯ H-FABP plays an important role in the early diagnosis and prognosis of septic myocardial injury. Early combined detection of NT-proBNP, CK-MB and H-FABP can significantly improve the diagnostic ability of septic myocardial injury, and NT-proBNP and cTnI combined with H-FABP can significantly improve the ability to predict the adverse prognosis of sepsis myocardial injury.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Mar 2021
Randomized Controlled Trial[Application of goal-oriented fluid replacement therapy in volume management of postpartum hemorrhage during cesarean section].
To observe the effect of fluid therapy on volume and coagulation function in patients with severe postpartum hemorrhage during cesarean section of placenta accreta under the guidance of inferior vena cava diameter (IVCD) and inferior vena cava collapse index (IVC-CI). ⋯ Fluid resuscitation guided by IVC-CI can effectively reduce the volume of blood and fluid transfusion and blood loss in patients with severe postpartum hemorrhage and improve their blood coagulation function.