Abstract:
:Since there were a few articles to report the treatment of severe pulmonary vasoconstriction induced by protamine in cardiac surgery, we described the use of epoprostenol to reverse this condition.A total of 5 cases of severe pulmonary vasoconstriction induced by protamine in cardiac surgery were reviewed. The demographic, clinical data and treatment process were obtained. All the patients were followed up.Severe pulmonary vasoconstriction was occurred 4 to 10 minutes after protamine infusion. The primary sign was sudden hypotension, the pulmonary artery pressure was increased gradually, the arterial oxygen partial pressure was decreased in all the patients. Epoprostenol was infused via pulmonary artery catheter at dosage of 20 to 40 ng/kg·min in all the patients, 2 patients were underwent re-cardiac pulmonary bypass assistance. The hemodynamic instability status lasted 40 to 65 minutes respectively. All the patients were recovered uneventfully.All physicians should alert to the incidence of severe pulmonary vasoconstriction induced by protamine in cardiac surgery. Use epoprostenol through pulmonary artery catheter could treat pulmonary artery vasoconstriction effectively and safely.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Guan Z,Shen X,Zhang YJ,Li XG,Gao YF,Tan J,Yuan H,Liu JJdoi
10.1097/MD.0000000000010908subject
Has Abstractpub_date
2018-07-01 00:00:00pages
e10908issue
28eissn
0025-7974issn
1536-5964pii
00005792-201807130-00001journal_volume
97pub_type
杂志文章相关文献
MEDICINE文献大全abstract:BACKGROUND:Renal cell carcinoma metastasizing to rectum is very rare, and the unusual metastatic sites should be paid attention to during the follow-up of renal cell carcinoma. CASE SUMMARY:We describe a case of a 65-year-old male who was diagnosed with metastatic renal cell carcinoma to rectum 10 years after the righ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005720
更新日期:2017-01-01 00:00:00
abstract::The aim of this study was to explore the incidence and outcomes of patients with oral cavity squamous cell carcinoma (OSCC) and fourth primary tumors (PTs) in a betel-chewing endemic area.We retrospectively examined the records of 1836 OSCC patients who underwent radical tumor resection between 1996 and 2014. The outc...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002950
更新日期:2016-03-01 00:00:00
abstract::To determine the factors influencing the degree of detectability of lesions and diffusion background signals on magnetic resonance diffusion-weighted imaging (DWI) in invasive breast cancer.Institutional review board approval was obtained and patient consent was waived. Patients with newly diagnosed invasive ductal ca...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004086
更新日期:2016-07-01 00:00:00
abstract::Ankylosing spondylitis (AS) is a chronic inflammatory disease involing spine and enthesis. The primary aim of this study is to investigate the autonomic nervous system (ANS) function and the association between ANS and the functional status or disease activity in AS.The study included 42 AS patients, all fulfilling th...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003749
更新日期:2016-05-01 00:00:00
abstract:RATIONALE:Atopic dermatitis is a frequent, relapsing, chronic inflammatory skin condition with a deep negative impact on quality of life. Three are the major pathological factors driving its complex pathogenesis: the skin barrier disruption, the altered Th2 cell response and itching. Current management of the disease i...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010897
更新日期:2018-06-01 00:00:00
abstract::Bleedings represent most relevant complications being correlated with significant rates of adverse clinical outcomes in patients undergoing percutaneous coronary intervention (PCI). To reduce bleeding and improve prognosis various types of vascular closure devices (VCD) are frequently applied. This study aims to compa...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015501
更新日期:2019-05-01 00:00:00
abstract::The remarkable success of trastuzumab and other newly developed anti-HER2 (human epidermal growth factor receptor 2) therapies in breast, gastric, or gastroesophageal junction cancer patients has supported us to investigate the HER2 status and its possible therapeutic implication in mucinous epithelial ovarian cancer ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000171
更新日期:2014-12-01 00:00:00
abstract:RATIONALE:Although capillary hemangiomas, common lesions involving the proliferation of small capillary vessels and a single layer of endothelial cells, can arise in any organ, they are rarely reported in the greater or lesser omentum. Here in, we report a case of capillary hemangioma arising from the lesser omentum in...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018693
更新日期:2020-01-01 00:00:00
abstract::This study aimed to evaluate the characteristics of parathyroid carcinoma and to validate the diagnostic value of Tc-methoxyisobutylisonitrile (MIBI) single photon emission computed tomography/x-ray computed tomography (SPECT/CT) for differentiating between parathyroid carcinoma and hyperparathyroidism. Four consecuti...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012578
更新日期:2018-10-01 00:00:00
abstract::School sandplay group therapy is a useful clinical treatment method for adolescents who cannot adapt to school due to various emotional and behavioral problems. In this study, we conducted 10 weeks of group therapy in 70 adolescents referred to as maladjustment behavior problem in the school. The purpose of this study...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023272
更新日期:2020-12-11 00:00:00
abstract::One strategy for controlling the skyrocketing costs of cancer care may be to target high-tech/high-cost imaging at the end of life (EOL). This population-based study investigated receipt of high-tech/high-cost imaging and its determinants for Taiwanese patients with metastatic cancer in their last month of life.Indivi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001354
更新日期:2015-08-01 00:00:00
abstract::Identification of tumor imaging features associated with metastatic pattern may allow better understanding of cancer dissemination. Here, we investigated how primary tumor F-fluorodeoxyglucose (FDG) avidity influences the first site of breast cancer metastasis.Subjects were 264 patients with advanced breast cancer who...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004266
更新日期:2016-08-01 00:00:00
abstract::Ultrasound is routinely used during the evaluation of liver cirrhosis. Inter-observer variability is considered a major drawback. This retrospective study investigated the accuracy of ultrasound in diagnosing compensated cirrhosis (i.e., modified Knodell F3, F4) in chronic hepatitis C (CHC) patients in real world clin...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016270
更新日期:2019-07-01 00:00:00
abstract:RATIONALE:Achromobacter xylosoxidans infection is mostly reported in immunocompromised patients. Until now, it is still rarely reported in patients undergoing peritoneal dialysis. PATIENT CONCERNS:This is the 1st case of A xylosoxidans infection due to tunnel infection of a Tenckhoff catheter. DIAGNOSIS:The diagnosis...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006654
更新日期:2017-04-01 00:00:00
abstract::Hypertension continues to be an important public health concern because of its associated morbidity, mortality, and economic impact on society. The aims of this study are to compare the secular changes in age-stratified hypertension prevalence, incidence, co-morbidity, and 3 years of cardiovascular outcome in Taiwan i...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022437
更新日期:2020-09-25 00:00:00
abstract::Impact of arterial stiffness on aortic morphology has not been well evaluated. We sought to investigate the association of brachial-ankle pulse wave velocity (baPWV) with aortic calcification and tortuosity.A total of 181 patients (65.4 ± 10.4 years, males 59.7%) who underwent computed tomographic angiography and baPW...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016802
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Pulmonary artery sling (PAS) is rare, often with tracheal stenosis. And the postoperative mortality is high. For now, there is no consensus on the tracheoplasty for the patients with PAS and tracheal stenosis. METHODS:Studies involving surgical repair of PAS and tracheal stenosis with and without tracheopla...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000017449
更新日期:2019-10-01 00:00:00
abstract::Purpose of this study was to evaluate the outcomes of patients underwent hemiarthroplasty for proximal femoral fracture converted to total hip arthroplasty (THA).A total of 138 patients from October 2009 till October 2014 had conversion of their failed hemiarthroplasties following a proximal femoral fracture to total ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008235
更新日期:2017-10-01 00:00:00
abstract::Voluntary Medical Male Circumcision (VMMC) for human immunodeficiency virus (HIV) prevention has scaled up rapidly among young men in western Kenya since 2008. Whether the program has successfully reached uncircumcised men evenly across the region is largely unknown. Using data from two cluster randomized surveys from...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005885
更新日期:2017-01-01 00:00:00
abstract:RATIONALE:Stylohyoid complex syndrome is characterized by various cervicopharyngeal symptoms related to the ossification and abnormality of the styloid process, stylohyoid ligament, and the lesser horn of the hyoid bone. Eagle syndrome is the most well-known of the spectra of these diseases. Although surgical treatment...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020818
更新日期:2020-06-19 00:00:00
abstract::Although cardiac troponin I (cTnI) elevation in patients presenting to the hospital with supraventricular tachycardia (SVT) is well recognized, the prevalence, predictors, and prognostic significance of cTnI elevation associated with SVT presentation are not known. We screened records of all patients presenting to 2 h...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0b013e3181dddb3b
更新日期:2010-05-01 00:00:00
abstract::Few studies have yet investigated the possible association between high-density lipoprotein cholesterol (HDL-C) and kidney function in elderly patients with primary hypertension. Accordingly, the aim of the present study was to evaluate the relationship between HDL-C and kidney function in elderly hypertension. A tota...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000651
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Femoroacetabular impingement (FAI) is a common cause of hip pain and restricted range of motion in young adults and athletes. This study aims to compare clinical results and complications between patients treated for FAI who underwent either arthroscopic or open treatment. METHODS:The 7 studies were acquire...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000023364
更新日期:2020-11-20 00:00:00
abstract::Patients with peritoneal metastases (PM) are generally considered incurable; therefore, the presence of PM is a critical factor in deciding between palliative surgery and curative resection as a therapeutic strategy. Previous studies have not determined the predictive value of ascites detected on computed tomography (...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009343
更新日期:2018-02-01 00:00:00
abstract:RATIONALE:Carbapenem-resistant Klebsiella pneumonia (CRKP) infections have been a concerning threat, especially in organ transplant patients with very high mortality. Allograft hemorrhage associated with CRKP infection has never been described. PATIENT CONCERNS:A total of 6 recipients tested positive for CRKP were ide...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018982
更新日期:2020-03-01 00:00:00
abstract::The objective of this study was to assess whether preoperative breast magnetic resonance imaging (MRI) combined with conventional breast imaging techniques decreases the rates of margin involvement and reexcision.Data on patients who underwent surgery for primary operable breast cancer were obtained from the Changhua ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003810
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy and safety of carbetocin for prevention of postpartum hemorrhage in women undergoing vaginal delivery compared with oxytocin. METHODS:We conducted a systemic literature search in PubMed, the Cochrane Library, and Embase without language restrictions from inception of each of database...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000017911
更新日期:2019-11-01 00:00:00
abstract::In this study, we analyzed the difference of intestinal flora polymorphisms between Wilson's disease (WD) patients and healthy people by high-throughput sequencing technology, and explored the correlation between WD and intestinal flora polymorphism.A total of 22 cases of WD patients and 22 healthy persons as control ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011743
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Because of aging of population, osteoporotic vertebral compression fracture (OVCF) appears an increasing incidence rate. Conservative therapy (CT) and balloon kyphoplasty (BKP) have been used to treat OVCFs. However, an increase in new vertebral compression fractures at nontreated levels following BKP is of ...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000012666
更新日期:2018-10-01 00:00:00
abstract::Bacterial pneumonia in the elderly is common, and causes more morbidity and mortality than in the younger adult. As patients live longer with more underlying disease and more iatrogenic disease, the incidence of nosocomial pneumonia will probably rise. Adequate sterilization of inhalation therapy equipment can reduce ...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/00005792-198309000-00002
更新日期:1983-09-01 00:00:00