Abstract:
ABSTRACT:Acute respiratory distress syndrome (ARDS) is very common in patients with severe acute pancreatitis (SAP), the early interventions are essential to the prognosis of SAP patients. We aimed to evaluate the risk factors for ARDS in SAP patients, to provide insights into the management of SAP.SAP patients treated in our hospital from June 1, 2018 to May 31, 2020 were included. The characteristics and lab test results were collected and compared, and we conducted the logistic regression analyses were conducted to identify the potential risk factors for ARDS in patients with SAP.A total of 281 SAP patients were included finally, the incidence of ARDS in patients with SAP was 30.60%. There were significant differences on the respiratory rate, heart rate, APACHE II and Ranson score between 2 groups (all P < .05). And there were significant differences on the polymorphonuclear, procalcitonin, C-reactive protein, serum creatinine, albumin and PO2/FiO2 between 2 groups (all P < .05), and no significant differences on the K+, Na+, Ca+, white blood cell, neutrophils, urine and blood amylase, trypsin, lipase, alanine aminotransferase, aspartate aminotransferase, total bilirubin, triglyceride, total cholesterol, total bilirubin, fasting blood glucose, and pH were found (all P > .05). Respiratory rate >30/min (odds ratio [OR]: 2.405, 95% confidence interval[CI]: 1.163-4.642), APACHE II score >11 (OR: 1.639, 95% CI: 1.078-2.454), Ranson score >5 (OR: 1.473, 95% CI: 1.145-2.359), polymorphonuclear >14 × 109/L (OR: 1.316, 95% CI: 1.073-2.328), C-reactive protein >150 mg/L (OR: 1.127, 95% CI: 1.002-1.534), albumin ≤30 g/L (OR: 1.113, 95% CI: 1.005-1.489) were the independent risk factors for ARDS in patients with SAP (all P < .05).The incidence of ARDS in SAP patients is relatively high, and it is necessary to carry out targeted early prevention and treatment for the above risk factors.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Zhang W,Zhang M,Kuang Z,Huang Z,Gao L,Zhu Jdoi
10.1097/MD.0000000000023982subject
Has Abstractpub_date
2021-01-15 00:00:00pages
e23982issue
2eissn
0025-7974issn
1536-5964pii
00005792-202101150-00023journal_volume
100pub_type
杂志文章相关文献
MEDICINE文献大全abstract::To investigate the treatment effects of gemcitabine plus S-1 (GS) for metastatic pancreatic cancer in our institution.Data from 41 patients with metastatic pancreatic cancer treated with GS regimen in West China Hospital, Sichuan University were reviewed. The therapeutic efficacy and toxicity were evaluated. The influ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012836
更新日期:2018-10-01 00:00:00
abstract::The elevated platelet-to-lymphocyte ratio (PLR), determined using an easy blood test based on platelet and lymphocyte counts, is reported to be a predictor of poor survival in patients with several cancers. The prognostic role of preoperative PLR in patients with intrahepatic cholangiocarcinoma (ICC) has, until now, b...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000574
更新日期:2015-04-01 00:00:00
abstract::Fine needle aspiration (FNA) is the procedure of choice for evaluating thyroid nodules. It is indicated for nodules >2 cm, even in cases of very low suspicion of malignancy. FNA has associated risks and expenses. In this study, we developed an image analysis model using a deep learning algorithm and evaluated if the a...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015133
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Prevalence estimates of heterotopic ossification (HO) following cervical artificial disc replacement (ADR) varied widely in previous studies. We conducted a systematic review and meta-analysis to summarize its point prevalence. METHODS:Electronic searches of PubMed, Web of Science, Embase, and Cochrane Libr...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000007163
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Femoral nerve block (FNB) is considered the preferred analgesia after anterior cruciate ligament reconstruction (ACLR), but leads to weakness in the quadriceps muscles. Adductor canal block (ACB) is a new sensory block technique that effectively relieves postoperative pain while preserving quadriceps strengt...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020776
更新日期:2020-07-10 00:00:00
abstract:BACKGROUND:Uterine fibroids represent the most common gynecological benign tumors in reproductive females. Acupuncture has been applied as a therapeutic modality in China to treat uterine fibroids. However, currently, few critical systematic reviews regarding the effect of acupuncture on uterine fibroids have been publ...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000014631
更新日期:2019-02-01 00:00:00
abstract:RATIONALE:Collecting duct carcinoma (CDC) is a rare type of nonclear renal cell carcinoma, often presenting at an advanced stage of the disease, and standard treatment guidelines have not been established. PATIENT CONCERNS:A 73-year-old man was admitted to our hospital with complaints of fever and lower right back pai...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013173
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Dexmedetomidine is an effective sedative during spinal anesthesia. However, it requires a loading dose, which can result in transient hypertension, hypotension, bradycardia, and/or sinus arrest. In addition, the time required to reach an appropriate depth of sedation may cause anxiety to the patients. Theref...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012565
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:The study determined the effect of cognitive-behavioral therapy (CBT) with music in reducing physics test anxiety among secondary school students as measured by generalized test anxiety scale. METHODS:Pre-test post-test randomized control trial experimental design was adopted in this study. A total of 83 se...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000016406
更新日期:2020-04-01 00:00:00
abstract::The purpose of this study was to evaluate the effects of salvage chemotherapy on recurrent or persistent ovarian clear cell carcinoma (CCC) with the goal of identifying a more rational treatment regimen for this lethal disease.The medical records of patients with CCC were retrospectively reviewed to select patients th...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001121
更新日期:2015-07-01 00:00:00
abstract::A method to perform exercise testing for patients with hemiplegia is unavailable though over half of them have cardio-pulmonary disorders. We aimed to assess the reliability and validity of using a stepper in cardiopulmonary exercise testing (CPET) in this population.14 stroke patients with hemiplegia who failed to ri...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021058
更新日期:2020-07-10 00:00:00
abstract:RATIONALE:Systemic lupus erythematosus (SLE) is a connective tissue disease that has many clinical manifestations. However, cardiac tamponade has been rarely reported especially as an initial presenting feature of systemic lupus erythematosus. Herein, we describe a case of cardiac tamponade as the first presentation of...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013708
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:JLC has been widely applied as a promising adjunctive drug for GC. However, the exact effects and safety of JLC have yet to be systematically investigated. We aimed to summarize the efficacy and safety of JLC for the treatment of advanced GC through the meta-analysis, in order to provide scientific reference...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020532
更新日期:2020-06-05 00:00:00
abstract:RATIONALE:The perivascular epithelioid cell tumor (PEComa) is rare in young man and rarely occurs in the large intestine. PATIENT CONCERNS:The clinical characteristics, diagnosis, and managements in a 28-year-old boy who presented with sudden onset of cramping and abdominal pain and intermittent melena with a blood pr...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011679
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Implementation of dispatcher-assisted cardiopulmonary resuscitation (DACPR) has increased the likelihood of bystander CPR upon cardiac arrest. However, the quality of CPR has been found to be very low. In this study, we aimed to compare CPR quality between the current DACPR practices and the interventional i...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000022728
更新日期:2020-10-16 00:00:00
abstract::This study is conducted to investigate the involvement of T-helper (Th) cells and regulatory T cells in epithelial ovarian cancer (EOC).The percentages of Th22, Th17, Th1, and regulatory T cells in the peripheral blood of EOC patients, benign ovarian epithelial neoplasm (BOEN) patients, and healthy control (HC) were e...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008359
更新日期:2017-10-01 00:00:00
abstract::This study retrospectively investigated the effectiveness of paroxetine for the treatment of poststroke depression (PSD).Seventy patient cases with PSD were included in this study, and were assigned to an intervention group and a control group equally. All patients received routine treatment in both groups. Additional...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011496
更新日期:2018-07-01 00:00:00
abstract:RATIONALE:Treprostinil, a potent vasodilator, is the treatment of choice for severe pulmonary arterial hypertension (PAH) during pregnancy. Its inhibition of platelet aggregation increases the risk of hemorrhage. In addition, anticoagulation therapy is widely used in pregnancy with PAH due to the hypercoagulable state....
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011810
更新日期:2018-08-01 00:00:00
abstract::Osteoporosis or osteopenia is a common complication in patients with cirrhosis, but little is known about the risk factors for the occurrence of osteoporosis.Patients with liver cirrhosis due to chronic virus infection and alcoholic abuse were enrolled. Bone mineral density (BMD) was determined using dual-energy x-ray...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010645
更新日期:2018-05-01 00:00:00
abstract::The aim of the present study is to investigate the value of air bronchogram sign on computed tomography (CT) image in the differential diagnosis of solitary pulmonary consolidation lesions (SPLs).A total of 105 patients (including 39 cases of lung cancer, 43 cases of tuberculosis, and 23 cases of pneumonia) with SPLs ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011985
更新日期:2018-08-01 00:00:00
abstract:INTRODUCTION:Stroke-like episodes (SLEs) are typical cerebral manifestations of certain mitochondrial disorders (MIDs). They are characterised by a vasogenic edema in a non-vascular distribution. PATIENTS CONCERNS:: none DIAGNOSIS:: SLEs show up on cerebral MRI as stroke-like lesions (SLLs), characterised by vasogenic ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019141
更新日期:2020-02-01 00:00:00
abstract::This study aimed to discuss the risk factors of perioperative blood transfusion after the application of proximal femoral nail antirotation (PFNA) in the treatment of elderly patients with femoral intertrochanteric fracture (FIF). Moreover, this study also aimed to analyze the causes of perioperative blood transfusion...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019726
更新日期:2020-04-01 00:00:00
abstract::The purpose of the present study was to investigate the efficacy and safety of radiotherapy for patients with oligometastases from colorectal cancer (CRC).This was a retrospective cross-sectional study. Patients with liver and/or lung oligometastatic lesions from CRC treated with curative-intent radiotherapy in West C...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012601
更新日期:2018-10-01 00:00:00
abstract::Idiopathic acute eosinophilic pneumonia (AEP) is an acute febrile illness that may be mistaken for an infectious pneumonia. Patients are often young and otherwise healthy. Clues to considering this disorder in a differential diagnosis include the acuity and severity of the clinical presentation and an initial chest X-...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/00005792-199611000-00004
更新日期:1996-11-01 00:00:00
abstract:RATIONALE:Angiosarcoma is an extremely rare malignant tumor of endothelial origin. The majority of studies reporting angiosarcoma have been concerned with the clinical and pathological aspects, with limited reporting of their imaging findings. To our knowledge, angiosarcoma of the adrenal gland is very rare. Herein we ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008551
更新日期:2017-11-01 00:00:00
abstract::Quality of life (QoL) is a matter of concern in both healthy and diseased individuals. Lifestyle factors such as physical activity and sleep have a direct impact on QoL. In this context, interactions between activity time expenditure and QoL might be different in comorbid and non comorbid patients. Besides, the quanti...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022552
更新日期:2020-11-25 00:00:00
abstract:RATIONALE:Undifferentiated carcinoma with osteoclast-like giant cells (UC-OGCs) of the pancreas is an extremely rare and aggressive pancreatic malignancy. To our knowledge, the computed tomography (CT) findings of this disease have rarely been analyzed. PATIENT CONCERNS:A 65-year-old man who experienced weight loss of...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013516
更新日期:2018-11-01 00:00:00
abstract:RATIONALE:Advanced ovarian malignancies are associated with poor overall survival; thus, patients often turn to alternative treatments, despite the controversy surrounding their use. Mistletoe extract has been commonly used as complementary medicine to treat patients with cancer for several decades, and has proven bene...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014536
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Effective treatment of low back pain (LBP) originating in the lumbar and sacroiliac joints is difficult to achieve. The objective of the current study was to compare the clinical effectiveness of radiofrequency (RF) neurotomy versus conservative nonsurgical approaches for the management of chronic lumbar and...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000016230
更新日期:2019-06-01 00:00:00
abstract::Conventional methods for identifying gastroenteritis pathogens are time consuming, more likely to result in a false-negative, rely on personnel with diagnostic expertise, and are dependent on the specimen status. Alternatively, molecular diagnostic methods permit the rapid, simultaneous detection of multiple pathogens...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011006
更新日期:2018-06-01 00:00:00