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find Author "曹钰" 75 results
  • 急性百草枯中毒致急性肺损伤发病机制的研究进展

    百草枯中毒所致急性肺损伤是目前临床上百草枯中毒致死的主要因素,近年来对于其损伤机制的研究不断深入,但其具体机制尚不完全明确。现对近年来百草枯中毒肺损伤在炎症反应、氧化损伤、基因异常表达等方面的机制研究进行综述,以期为临床医生对百草枯中毒致肺损伤的治疗提供依据。

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  • 从宏观到微观,加强急性中毒的防与治

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  • 脾动脉栓塞术在多发伤合并脾脏损伤中的应用

    自从1981年首次报道脾脏损伤出血后介入栓塞治疗可作为脾切除之外的一种可选择的治疗方法后,脾动脉栓塞术在脾脏损伤中的应用已越来越多。在脾脏创伤出血的治疗选择中,脾动脉栓塞术治疗占有重要的地位,可以避免不必要的手术,降低手术本身造成的伤害,同时介入手术成功率高,在治疗后可以立即进行血管造影评估止血效果。多发伤并不是脾脏创伤出血患者行介入栓塞术的危险因素,反而脾动脉栓塞术为外科手术风险较高的多发伤合并脾脏损伤患者提供了另一种治疗方式。

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  • 互联互通,共享发展——急诊医学未来发展模式的探索

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  • 睹始知终,明察秋毫——再论急诊患者病情评估

    Release date:2017-06-22 02:01 Export PDF Favorites Scan
  • The interpretation of the 2017 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: Adult Basic Life Support and Cardiopulmonary Resuscitation Quality

    The American Heart Association (AHA) released the 2017 American Heart Association Focused Update on Adult Basic Life Support and Cardiopulmonary Resuscitation Quality (2017 AHA guidelines update) in November 2017. The 2017 AHA guidelines update was updated according to the rules named " the update of the guideline is no longer released every five years, but whenever new evidence is available” in the 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. The updated content in this guideline included five parts: dispatch-assisted cardiopulmonary resuscitation (CPR), bystander CPR, emergency medical services - delivered CRP, CRP for cardiac arrest, and chest compression - to - ventilation ratio. This review will interpret the 2017 AHA guidelines update in detail.

    Release date:2017-11-24 10:58 Export PDF Favorites Scan
  • Early screening and evaluation of sepsis in emergency department

    Sepsis is a critical condition. The key factor affecting the survival of patient is whether standard treatment can be obtained timely. Because of the complexity of its pathogenesis and high heterogeneity, there is no special diagnosis method currently. Early identification is difficult. Delayed diagnosis and treatment is closely related to the mortality of patients. With the continuous updating of the guidelines, sepsis has been included in the “time window” disease, putting forward a great challenge to the early screening and evaluation of sepsis. This article aims to review the application of Sepsis-Related Organ Failure Assessment, sepsis biomarkers and artificial intelligence algorithms in early screening and evaluation of sepsis, so as to provide guidance tools for timely starting standardized treatment of sepsis.

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  • Role of First-aid Fast Track in Triaging Earthquake Trauma Patients

    Objective To elucidate the effect of first-aid fast track in triaging earthquake trauma patients by studying the earthquake trauma patients staying in the Emergency Department of West China Hospital after “5•12 Wenchuan Earthquake” so as to accumulate experience in the treatment of disaster traumas. Methods A retrospective study was done on earthquake trauma patients staying in the Emergency Department of West China Hospital after “5•12 Wenchuan Earthquake” from 14:28 May 12, 2008 to 14:27 May 15, 2008. Differences in care given during the time period were analyzed. Results There were 536 earthquake trauma patients in West China Hospital within 72 hours after the earthquake. Twohundred and seven earthquake trauma patients staying in the Emergency Department had an average stay of 129 minutes during the 24 hours after the quake; 104 earthquake trauma patients staying in the Emergency Department had an average stay of 97 minutes in the second 24 hours; and 226 earthquake trauma patients staying in the Emergency Department had an average stay of 86 minutes in the third 24 hours. Each consecutive day showed shorter average stays. Conclusion The first-aid fast track not only guarantees earthquake trauma patients are saved as soon as possible but also shortens the time in the Emergency Department.

    Release date:2016-09-07 02:09 Export PDF Favorites Scan
  • 旧金山晕厥规则对急诊晕厥患者的评估价值

    目的 探讨旧金山晕厥规则对国内以晕厥就诊的急诊患者发生严重不良后果及需要住院治疗有无评估价值。 方法 根据旧金山晕厥规则,将2009年1月1日-3月31日期间纳入的100例患者分为高危晕厥组(29例)和低危晕厥组(71例),比较两组患者入院情况,进而评估旧金山晕厥规则对晕厥患者是否需要入院和再入院情况有无预测价值。 结果 高危组和低危组住院的患者分别为25例和40例,分别占所在组总人数的86.2%和56.3%,两组间差异有统计学意义(P=0.004)。 结论 旧金山晕厥规则对急诊晕厥患者的快速评估和分流有一定的临床应用价值。

    Release date:2016-09-07 02:38 Export PDF Favorites Scan
  • Prognosis Correlation Analysis for Patient with Severe Sepsis and High-density Lipoproteing

    目的 探讨脓毒症患者的病情预后与高密度脂蛋白(HDL)之间的关联性。 方法 2008年3月1日-2010年2月28日选择50例严重脓毒症患者(脓毒症组)和30例非脓毒症的健康人(对照组),比较两组急性生理学与慢性健康状况评分Ⅱ(APACHEⅡ)和HDL水平。 结果 脓毒症组的HDL水平为(1.10 ± 0.39)mmol/L,对照组HDL水平为(1.61 ± 0.42) mmol/L,两组差异有统计学意义(t=6.786,P=0.000)。多因素非条件logistic回归分析显示,HDL水平(OR=0.877,P=0.025)和APACHEⅡ评分(OR=15.556,P=0.009)是影响脓毒症患者患病程度的两个有效独立因素。 结论 脓毒症能够导致患者的脂代谢出现紊乱,HDL水平是评估脓毒症患病程度的较好指标。

    Release date:2016-09-07 02:38 Export PDF Favorites Scan
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