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 · Jan 2008
Randomized Controlled Trial[Effect of dopamine and norepinephrine on hemodynamics and tissue oxygenation of patients with septic shock].
To evaluate the effects of dopamine (DA) and norepinephrine (NE) on hemodynamics and tissue oxygenation of patients with septic shock. ⋯ DA has better effect of increasing DO2 than NE, but its side effect of accelerating HR may to some degree restrict its use. NE may has better effects than DA on enhancing visceral perfusion and tissue oxygenation. DA may be a better choice for patients with septic shock accompanied by oliguria and/or renal dysfunction. NE may be a better choice for the patients of septic shock with tachycardia and/or severe tissue hypoxia.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Sep 2007
Randomized Controlled Trial[Establishment of artificial airway with a thermal-softened nasotracheal tube guided by fiberoptic bronchoscope].
To assess superiority and safety of nasotracheal intubation with a thermal-softened tube guided by fiberoptic bronchoscope to establish an artificial airway for the institution of mechanical ventilation. ⋯ The use of a thermal-softened nasotracheal tube to intubate guided by a fiberoptic bronchoscope to establish an artificial airway shortened preparation time before intubation. It is not necessary to use a vasoconstrictor for nasal mucosa before intubation, therefore cardiovascular effects due to the drugs can be avoided. It increases the willingness of conscious patients to accept the procedure and successful rate of the first intubation.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Aug 2007
Randomized Controlled Trial[Effect of early enriched parenteral alanyl-glutamine on heat shock protein 70 (HSP70) expression in critical patients].
To evaluate the effect of early parenteral glutamine (Gln) administration on heat shock protein (HSP70) expression and clinical outcome in critical patients. ⋯ Early parenteral glutamine administration can improve clinical outcome, decrease the ratio of organ dysfunction possibly by the mechanism of increasing serum HSP70 in critical patients.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jun 2007
Randomized Controlled Trial[Effect of drainage of the cerebrospinal fluid at the acute period of aneurysmal subarachnoid hemorrhage on the formation of hydrocephalus].
To discuss the effect of drainage of the cerebrospinal fluid (CSF) at acute period after aneurysmal subarachnoid hemorrhage (SAH) on the formation of hydrocephalus. ⋯ Embolization of the intracranial aneurysm with interventional treatment at the acute hemorrhage stage (within 7 days) for the aneurysmal SAH, followed by immediate drainage of CSF can prevent hydrocephalus or alleviate hydrocephalus, and the treatment plays a significant role in the formation and development of hydrocephalus.