Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2021
[Effect of high-flow nasal cannula oxygen on patients with chronic obstructive pulmonary disease and mild hypercapnia: a retrospective cohort study based on the Medical Information Mart for Intensive Care-IV database].
To observe the effect of high-flow nasal cannula oxygen therapy (HFNC) in patients with chronic obstructive pulmonary disease (COPD) and mild hypercapnia, and to evaluate the early predictive ability of physiological parameters in these patients. ⋯ HFNC can be used in COPD patients with mild hypercapnia, but it cannot replace NIV. The accuracy of ROX index at 4 hours after HFNC treatment in predicting intubation in COPD patients with mild hypercapnia is poor.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2021
[Predictive value of heparin binding protein for sepsis].
To investigate the predictive value of heparin binding protein (HBP) for sepsis. ⋯ HBP can be used as a biological indicator for predicting sepsis and can assess the severity of organ failure in septic patients.
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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 · 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
[Safety of administration of norepinephrine through peripheral vein line in patients with septic shock].
To analysis the risk factors and safety of administration of norepinephrine (NE) via peripheral vein line (PVL) in patients with septic shock. ⋯ Hypertension, edema, long-term infusion (> 24 hours), infusion concentration > 60 mg/L, infusion speed > 0.3 μg×kg-1×min-1, diameter of needle < 20 G, and lack of observation and evaluation by medical staff regularly were risk factors affecting the safety of peripheral intravenous NE in patients with septic shock. Peripheral NE should be avoided in the presence of the above risk factors.