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|a pubmed25n0551.xml
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|a (DE-627)NLM165240865
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|a (NLM)16959149
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|a DE-627
|b ger
|c DE-627
|e rakwb
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|a chi
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100 |
1 |
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|a Shi, Ji-yue
|e verfasserin
|4 aut
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|a Investigation of relationship between prehospital care for traumatic shock and postoperative acute lung injury/acute respiratory distress syndrome
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|c 2006
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|a Text
|b txt
|2 rdacontent
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|a ohne Hilfsmittel zu benutzen
|b n
|2 rdamedia
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|a Band
|b nc
|2 rdacarrier
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|a Date Completed 14.09.2007
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|a Date Revised 09.12.2020
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|a published: Print
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|a Citation Status MEDLINE
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|a OBJECTIVE: To investigate and analyze the correlation and clinical significance of prehospital treatment for traumatic shock and postoperative acute lung injury (ALI)/acute respiratory distress syndrome (ARDS)
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|a METHODS: Six hundred cases in the last 10 years were enrolled for double-blind randomized control study. They were divided into 3 groups. Group A consisted of 184 cases who had received combined treatment, group B consisted of 305 cases who had received fluid replacement only and group C consisted of 111 cases with no treatment. The incidence of systemic inflammatory response syndrome (SIRS), ALI and ARDS of each group were analyzed and compared. SIRS was graded at 1 (T0) after admission, 24 (T1), 48 (T2), 96 (T3) and 144 hours (T4) after operation
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|a RESULTS: In 524 cases diagnosis of SIRS was made among 600 patients (87.33%). Among them 73.37% (135/184 cases) were in group A, 91.48% (279/305 cases) belonged to group B and 99.10% (110/111 cases) in group C. The scores of SIRS were notably lower in group A than B and C at each time point (all P<0.01), and they were lower in group B than those in group C (all P<0.01), they recovered at T3 after operation in group A while in group B patients recovered at 144 hours after operation. Eleven patients among 184 (5.98%) were diagnosed to have ALI including 1 case progressed to ARDS and 1 case to MODS and no one died, while in group B 32 cases in 305 (10.49%) had ALI with 7 cases progressed to ARDS and 3 cases to MODS while 3 deaths and in group C 23 among 111 (20.72%) had ALI, and 8 patients progressed to ARDS, 5 cases to MODS and 5 deaths
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|a CONCLUSION: Prehospital treatment is closely related with postoperative ALI, and combined treatment is beneficial in reducing the incidence of postoperative ALI/ARDS
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|a Journal Article
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|a Randomized Controlled Trial
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|a Research Support, Non-U.S. Gov't
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1 |
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|a Zhou, Kun
|e verfasserin
|4 aut
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1 |
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|a Zhang, Ai-min
|e verfasserin
|4 aut
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700 |
1 |
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|a Geng, Yan
|e verfasserin
|4 aut
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1 |
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|a Zhang, Hong-lin
|e verfasserin
|4 aut
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700 |
1 |
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|a Hou, Bao-jun
|e verfasserin
|4 aut
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773 |
0 |
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|i Enthalten in
|t Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
|d 1998
|g 18(2006), 9 vom: 08. Sept., Seite 535-8
|w (DE-627)NLM098227793
|x 1003-0603
|7 nnns
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773 |
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|g volume:18
|g year:2006
|g number:9
|g day:08
|g month:09
|g pages:535-8
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