west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "管向东" 2 results
  • 重症脓毒症患者动态监测血乳酸及 D-二聚体的临床研究

    目的 动态观察外科重症脓毒症患者血清血乳酸及D-二聚体水平与预后的关系。方法回顾性分析55 例符合重症脓毒症标准的患者, 比较8、16、24、48、72 和168 h 的血乳酸变化和24、72、 168 h的D-二聚体变化。结果 其中34 例存活, 21 例死亡, 死亡率为38. 2%, 均死于多器官功能衰竭。 34 例存活组血乳酸48 h 内均达到正常, 而21 例死亡组直至第168 h仍明显高于存活组和正常值( P lt; 0. 05) 。死亡组24 h D-二聚体水平比存活组明显升高( 为正常值的5 倍) ( P lt;0. 05) , 在72 和168 h 两组无显著差异( P gt;0. 05) , 但两组D-二聚体仍明显升高( 为正常值的2. 5 倍) 。若以24 h 血乳酸和24 h D-二聚体预测死亡能力作ROC 曲线,24 h 血乳酸和D-二聚体的预测死亡能力相当。结论 动态监测1 周内血乳酸水平是判断重症脓毒症患者预后的一个重要指标, 血乳酸48 h 内降至正常, 预后良好; 随后的血乳酸仍高于正常, 预后差。24 h 血乳酸水平与24 h D-二聚体水平预测死亡能力相当。

    Release date:2016-09-14 11:24 Export PDF Favorites Scan
  • Effects of Exogenous Ubiquitin on Lung Injury and Serum Nitrite/Nitrate in Mice at the Early Stage of Sepsis after Cecal Ligation and Perforation

    Objective To explore the effects of exogenous ubiquitin on lung injury and serum nitric oxide ( NO) level of mice in the early stage of sepsis induced by cecal ligation and perforation ( CLP) . Methods Seventy-seven mice were devided randomly into three groups, ie. CLP Group ( n =28) , SHAM Group ( n =28) and UB Group( n = 21) . Six hours after operation, seven mice of both Group CLP and SHAM were sacrificed for lung and blood sampling. Meanwhile all mice of Group UB were injected intravenously with exogenous ubiquitin of 10 mg/kg body weight. Seven mice of each group were sacrificed at seven, eight and nine hours after operation. Lung water content and serum level of nitrate /nitrite ( NO2 /NO3 , the stable end-products of NO) , were determined. Pathological changes of lung were compared among the groups. Results Lung water content of Group UB was lower than that of Group CLP at each observational time point. Futhermore, there was a significant differentce in lung water content between Group UB and CLP at 9 hours. Pathological examination revealed that inflammatory hyperemia and infiltration of pulmonary parenchyma reduced in Group UB, compared with Group CLP. Serum NO levels of Group CLP and UB were similar at each time point. Conclusions In the early stage of murine sepsis induced by CLP, a single introvenous bolus of exogenous ubiquitin significantly decreases lung capillary vascular permeability, and probably makes a temporal reduction of acute lung injury while it has no obvious effects on serumNO level.

    Release date:2016-09-14 11:24 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content