1.Efficacy of linezolid in the treatment of severe pneumonia and its psychological countermeasures
Chinese Journal of Biochemical Pharmaceutics 2017;37(9):215-216
Objective To study and analyze the curative effect of linezolid in the treatment of severe pneumonia and the psychological countermeasures. Methods 100 cases of severe pneumonia patients treated in our hospital from March 2015 to August 2016 were selected and randomly divided into the control group and the experimental group. Two groups of patients according to the actual situation of patients with nutritional support and supplement electrolyte based treatment. The control group was treated with levofloxacin and ceftriaxone infusion treatment, the experimental group underwent intravenous linezolid therapy, and psychological care, pay attention to the psychological status of patients and patients, strengthen communication and exchanges, increase confidence in the treatment and the treatment compliance of patients. The therapeutic effects of the experimental group and the control group were compared and analyzed. Results After the corresponding treatment, the number of invalid cases in the experimental group was 4 cases, the number of effective cases was 31 cases, and the number of effective cases was 15 cases. The number of invalid cases in the control group was 10 cases, the effective number was 26 cases, and the effective cases were 14 cases. The effective rate of treatment in the experimental group was 92.0%, which was significantly higher than that in the control group, and the effective rate was 80.0%, with statistical difference (P<0.05). There were no obvious adverse reactions in the experimental group and the control group. The rate of adverse reactions in the control group was 14.0%, significantly higher than that in the experimental group (2.0%), and there was a statistical difference (P<0.05). Conclusion Linezolid is effective in the treatment of severe pneumonia, it can improve the therapeutic effect to a certain extent, and it has high security, it has the significance of clinical promotion.
2.The relationship between preoperative hemoglobin concentration and use of hospital resources in cardiac surgery
Journal of Clinical Surgery 2017;25(7):544-546
Objective To explore the relationship of preoperative hemoglobin concentration and use of hospital resources.Methods 108 patients receiving cardiac surgery in the central hospital of wuhan were included.The relationship of preoperative hemoglobin concentration was explored on blood transfusion rates,return to the operating room for bleeding and/or cardiac tamponade,postoperative intensive care unit(ICU)and in-hospital length of stay,and mortality.Results For every 10-unit increase in hemoglobin(g/L),blood transfusion requirements were reduced by 8.0%,6.0%,and 3.0% for red blood cell units,platelet pools,and fresh frozen plasma units,respectively.For each 10-unit decrease in hemoglobin(g/L),the probability(over time)of discharge from the ICU and hospital increased 7.0%,16.0% respectively.Conclusion A lower preoperative hemoglobin concentration resulted in increased use of hospital resources after cardiac surgery.Therefore,the correction of decreasing preoperative hemoglobin concentration could improve the use of hospital resources after cardiac surgery.
3.The impact of intraoperative conversion on mortality in patients undergoing off-pump coronary artery bypass grafting
Journal of Clinical Surgery 2017;25(5):363-365
Objective To analyze the incidence,risk factors,and impact of intraoperative conversion on the mortality in patients undergoing off-pump coronary artery bypass grafting.Methods This retrospective observational study included 207 patients undergoing off-pump coronary artery bypass grafting.According to whether intraoperative conversion,207 patients were randomly divided into intraoperative unchanged group(191 cases)and intraoperative changed group(16 cases).The incidence,patient characteristics,cause of intraoperative conversion,and its impact on outcome were studied.Results Intraoperative conversion increases odds for mortality to 25.0%,while the other group was 1.0%.The most common cause for intraoperative conversion was hemodynamic disturbances during grafting to the obtuse marginal artery.On multivariate logistic regression analysis,left main disease,mitral regurgitation and higher EuroSCORE II independently predicted intraoperative conversion.Conclusion Intraoperative conversion to on-pump coronary artery bypass grafting is independently associated with higher mortality in patients undergoing off-pump coronary artery bypass grafting.Identification of high risk group of intraoperative conversion may improve the outcome.
8.Biomembrane Signal Transduction and Apoptosis
Hong XIN ; Guangtao YAN ; Banzao CHEN
Progress in Biochemistry and Biophysics 2001;28(1):52-55
A variety of extra-cellular signals could activate the target molecules and induce the associated biological effects depended on different signal pathways. Apoptosis, or programmed cell death, is a conservation process essential for normal development and homeostasis of biologist. It's known that a number of factors and pathways can lead to apoptosis. Specific phosphorlipids and proteins of biomembrane could activate the signal cascades of apoptosis. The interaction of caspases, bcl-2 family and mitochondria play an essential role in regulation of apoptosis.
9.The evaluation of risk factors predicting perioperative mortality in patients with colorectal cancer
Jian CHEN ; Hong ZHANG ; Dengguo YAN
Chinese Journal of General Surgery 2014;29(9):708-711
Objective To investigate the potential risk factors for the death of patients with colorectal cancer during perioperative periods.Methods The clinical data of 545 patients with colorectal cancer were analyzed retrospectively.17 factors,which may influence mortality of patients with colorectal cancer during perioperative periods were evaluated.These enumeration data were analyzed with x2 test,then those factors with obvious difference in statistics were further analyzed by multi-factor Logistic regression analysis.The independent risk factors affecting the mortality of patients with colorectal cancer during perioperative periods were obtained from the analysis.Results There were 6 independent risk factors derived that had significant impacts on perioperative death that were postoperative complications,operation method,non-planed reoperation,preoperative electrolyte disturbance,preoperative hypoalbuminemia,and age(P < 0.05).Conclusions Many potential factors could affect perioperative mortality of patients with colorectal cancer undergoing surgical procedure.
10.Aorta Imaging with Multi-slice Spiral CT
Hong YAN ; Litong WANG ; Jian CHEN
Chinese Medical Equipment Journal 1989;0(02):-
Objective To investigate the optimum scanning parameters for multi-slice spiral CT aorta imaging so as to emphasize the contrast delay time and the method of image reconstruction.Methods 21 cases of patients were scanned with contrast enhancement by the method of bolus tracking.The contrast medicine was injected through elbow vein.Flow speed was 3.0ml/s,and contrast usage was 1.5 to 2ml/ kg.Scanning was triggered when the density of the enhancement at ROI arose to a prescribed value.After data acquisition and reconstruction,the aorta was displayed.Results The average time for the influx of contrast in aorta was 20 seconds.Data was reformatted with the thickness of 2.5mm and 50% overlapping.VR,CPR,MIP and SSD images were reconstructed.Conclusion With constant tracking of density by Smartprep software,the optimized scanning parameters and the proper image post-processing techniques,aorta can be clearly displayed.[Chinese Medical Equipment Journal,2008,29(2):88-89]