2.Effect of Bryan disk replacement on adjacent level: Three-year follow up
Chinese Journal of Tissue Engineering Research 2007;0(26):-
BACKGROUND: Although the clinical effect of cervical disk replacement in short term has been ascertained, but the middle and long term result is not known, especially for the adjacent level. OBJECTIVE: To observe clinical result and effect of cervical disk replacement on adjacent level in middle and long term. DESIGN, TIME AND SETTING: Retrospective case analysis was performed at Beijing Jishuitan Hospital from December 2003 to March 2005. PARTICIPANTS: Thirty-three patients (aged 35-73 years) undergoing cervical disc replacement were followed up for 3 years. Of them, 25 patients received one-level disk replacement, and 8 received two-level disk replacement. METHODS: The clinical results and imaging before and after operation were compared. MAIN OUTCOME MEASURES: Clinical indexes including JOA grade, Odom’s grade, NDI, SF-36; X-ray: Kellgren X-ray grade, disk cervical height, disk motion, Pfirrmann disk grade, sigittal diameter of spinal cord, and compression of the spinal cord. RESULTS: The point of JOA is 13.62?2.31 before operation, 15.75?1.55 after operation; the differences were significant (P=0.000). For Kellgren X-ray, 10 levels occurred degeneration above the disk replacement level, accounted for 33% (P=0.004), and 9 levels developed degeneration below the disk replacement level, accounted for 32% (P=0.011). No obvious changes in imaging indexes were observed before and after surgery. CONCLUSION: The clinical outcome of cervical disk replacement is good in middle-term follow up. Some adjacent level degeneration may occur after cervical disk replacement, and the degeneration type is osteophyte formation in the adjacent level. This kind of adjacent level degeneration does not affect the clinical outcome in middle term follow-up.
3.Critical care medicine in China: history and perspective.
Ling LIU ; Da-Wei LIU ; Hai-Bo QIU
Chinese Medical Journal 2013;126(10):1806-1808
4.Successful treatment of a child with respiratory failure occurred after lime inhalation.
Jie WANG ; Da-bo LIU ; Zhen-yun HUANG
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2008;43(10):792-793
Calcium Compounds
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Foreign Bodies
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complications
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etiology
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Humans
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Infant
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Male
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Oxides
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Respiratory Insufficiency
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etiology
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therapy
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Treatment Outcome
8.Preliminary analysis on the treatment of infection caused by pandrug-resistant Acinetobacter baumannii
Yan SHI ; Da-Wei LIU ; Da-Bo XU ; Ying-Chun XU ; Min-Jun CHEN ; Hui WANG ;
Chinese Journal of Infection and Chemotherapy 2007;0(01):-
Objective To analyze the clinical features of pandrug-resistant Acinetobacter baumannii (PDR-Ab) in a hospital and compare the efficacy of different antibiotic treatments on patients with pneumonia caused by PDR-Ab.Methods Data were ret- rospectively collected from all isolated PDR-Ab strains in our hospital from February 2004 to March 2005.The clinical features and outcomes were reviewed.Results A total of 77 strains of PDR-Ab were collected, 45 of which were pathogens causing clini- cal infections (35 strains from lower respiratory tract, 6 from bloodstream, 3 from drainage fluid, and 1 from wounds).Lower respiratory tract was the most common source of PDR-Ab.More than 90% of the isolated PDR-Ab strains produced OXA-23 type?-lactamase.Cefoperazone-sulbactam plus minocyeline showed good efficacy for patients with PDR-Ab pneumonia.The total clinical cure rate was 68.4%.Bacterial eradication rate was 42.1%.The factors influencing bacterial clearance were pro- longed mechanical ventilation prior to positive culture (17.5 d vs 5.5 d).mixed infection (100% vs 12.5%) and lower GCS score (9.1?0.7 vs 13.2?2.1).Concomitant septic shock (OR=13.8) and APACHEⅡscore (OR=2.1) were independent factors of clinical outcome.Conclusions Nosocomial infections caused by PDR-Ab are not untreatable.Our analysis suggests that cefoperazone-sulbactam plus minocycline may be an effective treatment for lower respiratory tract infections caused by PDR-Ab in our hospital.
9.Epidemiological investigation of vertigo.
Chang LIU ; Da-xin LIU ; Lei DING ; Bo LIU
Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2013;48(10):862-864
Humans
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Incidence
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Vertigo
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diagnosis
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epidemiology