排序方式: 共有28条查询结果,搜索用时 15 毫秒
1.
Volumetric capnography as a bedside monitoring of thrombolysis in major pulmonary embolism 总被引:1,自引:1,他引:1
Verschuren F Heinonen E Clause D Roeseler J Thys F Meert P Marion E El Gariani A Col J Reynaert M Liistro G 《Intensive care medicine》2004,30(11):2129-2132
Objective To describe the use of volumetric capnography, a plot of expired CO2 concentration against expired volume, in monitoring fibrinolytic treatment of major pulmonary embolism.Design and setting Two case reports in the emergency department of a teaching hospital.Patients Two conscious and spontaneously breathing patients (69- and 31-year-old women) with major pulmonary embolism requiring thrombolysis. Decision for thrombolysis was based on the association of right ventricular afterload on echocardiography, with respiratory failure and hypotension in the first patient, and dyspnea and hemodynamically stable parameters in the second one.Interventions Successive capnographic measurements were performed before, during, and after thrombolysis. Curves of volumetric capnography were obtained from a sidestream gas monitor with flow sensor and an arterial blood gas analysis for CO2 partial pressure.Measurements and results We calculated late deadspace fraction, previously suggested as the most effective capnographic parameter in the diagnosis of pulmonary embolism. Late deadspace fraction decreased in the two patients, respectively, from 64.4% to 1.1% and from 25.6% to 5.7% after thrombolysis, with a concomitant disappearance of right heart dysfunction signs on echocardiography.Conclusions Volumetric capnography can monitor thrombolysis in major pulmonary embolism. Differences between volumetric capnography technology and the more traditional arterial to end-tidal CO2 gradient are important to take into account for clinical application. 相似文献
2.
3.
Evaluation of outpatient therapeutic programme (OTP) for treatment of severe acute malnutrition in Yemen: a focus on treatment default and its risk factors
下载免费PDF全文
![点击此处可从《Journal of evaluation in clinical practice》网站下载免费的PDF全文](/ch/ext_images/free.gif)
4.
5.
Hyder A. Omar Mohammed A. Alzahrani Ali A. A. Al bshabshe Alhussain Assiri Medhat Shalaby Ahmad Dwedar Saad Rezk Abdulwahed Mahmoud Rezk-Abd-Elwahed Hussein 《Clinical and experimental nephrology》2010,14(3):272-276
Here, we report a case of systemic lupus erythematosus in a 13-year-old girl who developed the disease 3 years after thymectomy
performed for the treatment of myasthenia gravis. The presenting symptoms were fever, generalized fatigability, bilateral
loin pain, weight loss, arthralgia, hair loss, and recurrent painless mouth ulcers. Laboratory findings revealed proteinuria,
hematuria, anemia, leucopenia, a high titer of antinuclear antibodies (ANA), anti-dsDNA, and decreased complement (C3 and
C4) levels. There was minimal ascitis and pericardial effusion. Renal biopsy showed lupus nephritis class IV. The diagnosis
of systemic lupus erythematosus was established based on the clinical and laboratory findings. The activity of systemic lupus
erythematosus was controlled by pulsed treatment with methyl prednisolone followed by long-term oral glucocorticoid and immunosuppressive
therapy. This study highlights the immune system derangement following thymectomy. It also examines the relevant literature. 相似文献
6.
Khalid Bajunaid Abdulrahman J. Sabbagh Abdulrazag Ajlan Hosam Al-Jehani Ibrahim Alnaami Yahya H. Khormi Mohammed Bin Mahfoodh Abdulwahed Barnawi Ali Bin Salamah Abdullah Alobaid Mohammed S. Bafaquh Abdulrahman Y. Alturki Ahmed Alkhani Husam Al-Habib Saleh Baeesa Amro Al-Habib 《Neurosciences (Riyadh, Saudi Arabia)》2020,25(2):148
7.
8.
Ketelslegers E Collard X Vande Berg B Danse E El-Gariani A Poilvache P Maldague B 《European radiology》2002,12(5):1218-1220
Our objective was to determine the value of the Ottawa knee rules when applied by users with different levels of clinical training. We used a prospective patient survey by the medical students and surgery residents of a European university trauma centre. The study group consisted of 261 eligible patients who presented with acute knee trauma during a 6-month period. Radiography or follow-up was obtained for each patient. Data were separately analysed according to the degree of qualification of the initial examiner. The Ottawa knee rules had a sensitivity and a negative predictive value of 1.00. Variable degree of medical competence of the users did not alter the accuracy of the rules. Application of the rules would have reduced knee radiography requests by 25%. The Ottawa knee rules remain highly sensitive when applied by medical users with different levels of qualification, such as encountered in a teaching setting. 相似文献
9.
10.
Abdulqawi Mohammed Qaserah Mohammed Abdullah Al Amad Abdulwahed Abduljabbar Al Serouri Yousef Saleh Khader 《JMIR Public Health and Surveillance》2021,7(7)
BackgroundYemen has recently faced the largest cholera outbreak in the world, which started at the end of 2016. By the end of 2017, the cumulative reported cases from all governorates reached 777,229 with 2134 deaths. Al Hudaydah was one of the most strongly affected areas, with 88,741 (18%) cases and 244 (12%) deaths reported.ObjectiveThe aim of this study was to determine the risk factors associated with cholera transmission in Al Hudaydah city, Yemen.MethodsFrom December 1, 2017 to January 10, 2018, a total of 104 patients with cholera (57 women and 47 men) who presented at cholera treatment centers in Al Hudaydah city with three or more watery stools in a 24-hour period and with moderate or severe dehydration were identified for inclusion in this study. Each case was matched by age and gender with two controls who were living in the neighboring house. A semistructured questionnaire was used to collect data on behavioral and environmental risk factors such as drinking water from public wells, storing water in containers, consumption of unwashed vegetables or fruits, and sharing a toilet.ResultsThe median age of the cases and controls was 20 years (range 5-80) and 23 years (range 5-85), respectively. Only 6% of cases and 4% of controls were employed. Multivariate analysis showed that eating unwashed vegetables or fruits (odds ratio [OR] 7.0, 95% CI 1.6-30.6, P=.01), storing water in containers (OR 3.0, 95% CI 1.3-7.3, P=.01), drinking water from a public well (OR 2.5, 95% CI 1.1-5.7, P=.02), and using a public toilet (OR 5.2, 95% CI 1.1-24.4, P=.04) were significantly associated with cholera infection risk.ConclusionsThe cholera transmission risk factors in Al Hudaydah city were related to water and sanitation hygiene. Therefore, increasing awareness of the population on the importance of water chlorination, and washing fruits and vegetables through a health education campaign is strongly recommended. 相似文献