Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Aug 2011
[Effect of Buyang Huanwut decoction on apoptosis of splenocytes in rats with sepsis].
To observe the change in number of spleen T lymphocyte, B lymphocyte, apoptotic splenocytes and the expression of Bcl-2 and Bax protein in rats with sepsis; to study the effect of Buyang Huanwu decoction (BYHWD) on the immune function in rats with sepsis. ⋯ BYHWD improves the immunological suppression in rats with sepsis by lowering apoptosis of CD4(+) T lymphocyte and B lymphocyte in spleen, and its underlying mechanism may be that BYHWD produce a decrease of apoptosis through Bax.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Aug 2011
Multicenter Study[Analysis of risk factors of prolonged intensive care unit stay of critically ill obstetric patients: a 5-year retrospective review in 3 hospitals in Beijing].
To identify the risk factors of prolonged intensive care unit (ICU) stay of critically ill obstetric patients. ⋯ The incidence of prolonged ICU stay is high for critically ill obstetric patients. Patients with identified multivariate predictors carry a high risk of prolonged ICU stay, they may benefit from enhanced regular antenatal care, prevention of critical obstetric and medical complications, shortening the interval between onset of acute symptoms and ICU admission and strengthening the support of organ function.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Aug 2011
Controlled Clinical Trial[Intrathoracic blood volume index as an indicator of fluid management in septic shock].
To investigate the value of intrathoracic blood volume index (ITBVI) monitoring in fluid management strategy in septic shock patients. ⋯ Clinical picture in patients with septic shock is improved after 3 days of treatment than 1 day of treatment under fluid management directed by ITBVI, compared with by CVP. This improvement may be attributable to accurate assessment of preload and appropriate infusion rate in fluid challenge.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Aug 2011
[The effects of fluid resuscitation with different crystalloid-colloid ratio on extravascular lung water index in severe acute pancreatitis].
To investigate the effects of fluid resuscitation with different crystalloid-colloid ratio on extravascular lung water (EVLW) in patients with severe acute pancreatitis (SAP). ⋯ In order to guide early fluid resuscitation,EVLW, ICP and BNP should be monitored and limited fluid resuscitation strategy with an increasing colloid ratio should be adopted for SAP patients.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Aug 2011
[The prognostic value of N-terminal pro-B-type natriuretic peptide in patients with severe sepsis and septic shock].
To evaluate the prognostic value of N-terminal pro-B-type natriuretic peptide (NT-proBNP) in patients with severe sepsis and septic shock. ⋯ Plasma NT-proBNP level is a valuable prognostic factor for severe sepsis and septic shock patients.