Dear editor, We read with pleasure the well-designed study by Butler et al of electrical cardioversion of emergency department patients with atrial fibrillation. We appreciate their analysis of the distinctives of pro...Dear editor, We read with pleasure the well-designed study by Butler et al of electrical cardioversion of emergency department patients with atrial fibrillation. We appreciate their analysis of the distinctives of procedural sedation when employed for this indication. Understanding the dosing adjustments to propofol undertaken by their sedationists will help us more carefully evaluate our own approach to sedating patients undergoing electrical cardioversion of atrial fibrillation.展开更多
Background Acute coronary syndrome(ACS)is a common cardiovascular disease that typically occurs with a greater frequency in older adults,men and postmenopausal women.Methods A total of 62 patients with ACS admitted to...Background Acute coronary syndrome(ACS)is a common cardiovascular disease that typically occurs with a greater frequency in older adults,men and postmenopausal women.Methods A total of 62 patients with ACS admitted to our hospital from February 2021 to May 2023 were enrolled and divided into observation group and control group by the random number table method,with 31 cases in each group.The control group was given routine nursing,and the observation group was given additional emergency nursing on the basis of routine nursing.The emergency efficiency,emergency quality and quality of life were compared between the two groups.Results The emergency efficiency related indexes such as the time of triage,blood collection,referral time,and time spent on rescue after clinical reception was lower than that of control group(P<0.05).The emergency quality scores of emergency order,equipment preparation,nursing service,ward management and effective communication in the observation group were higher than those in the control group(P<0.05).The scores of 8 Quality of Life(QOL)dimensions in the observation group were higher than those in the control group(P<0.05).Conclusion Emergency nursing can improve the emergency efficiency and quality of ACS patients,and the quality of life of patients after emergency can be significantly improved as well,which is worthy of popularization and application.展开更多
Objective: To study the altering rule of coagulation function at molecular level in patients with secondary brain injury (SBI). Methods: Tissue factor (TF) and tissue factor pathway inhibitor (TFPI) were studied in 32...Objective: To study the altering rule of coagulation function at molecular level in patients with secondary brain injury (SBI). Methods: Tissue factor (TF) and tissue factor pathway inhibitor (TFPI) were studied in 32 patients 1, 2, 3 and 7 days after craniocerebral injury. Repeated cranial CT scans and platelet counts were made simultaneously. Same measurements were done in 30 normal adults except CT scan. Results: No obvious difference was found in age, sex and platelet count between the injured and the normal groups. TFPI/TF decreased markedly in the first week after injury in patients with SBI, but only decreased on the 7th day in the patients without obvious SBI. For the patients who developed delayed intracranial hematoma (DIH) or hematoma enlargement, TF rose only 1 and 2 days after injury, but TFPI had a tendency to rise again after a fall on the 3rd day. For those patients who developed no DIH, TF rose all the time within the 1st week. Conclusions: Decrease of TFPI/TF for a long time, especially within 3 days after injury, may be one of the most important reasons for SBI. High expression of TF for a relative short time and increase of TFPI after a fall within 3 days may be one of the important reasons for DIH or hematoma enlargement.展开更多
文摘Dear editor, We read with pleasure the well-designed study by Butler et al of electrical cardioversion of emergency department patients with atrial fibrillation. We appreciate their analysis of the distinctives of procedural sedation when employed for this indication. Understanding the dosing adjustments to propofol undertaken by their sedationists will help us more carefully evaluate our own approach to sedating patients undergoing electrical cardioversion of atrial fibrillation.
文摘Background Acute coronary syndrome(ACS)is a common cardiovascular disease that typically occurs with a greater frequency in older adults,men and postmenopausal women.Methods A total of 62 patients with ACS admitted to our hospital from February 2021 to May 2023 were enrolled and divided into observation group and control group by the random number table method,with 31 cases in each group.The control group was given routine nursing,and the observation group was given additional emergency nursing on the basis of routine nursing.The emergency efficiency,emergency quality and quality of life were compared between the two groups.Results The emergency efficiency related indexes such as the time of triage,blood collection,referral time,and time spent on rescue after clinical reception was lower than that of control group(P<0.05).The emergency quality scores of emergency order,equipment preparation,nursing service,ward management and effective communication in the observation group were higher than those in the control group(P<0.05).The scores of 8 Quality of Life(QOL)dimensions in the observation group were higher than those in the control group(P<0.05).Conclusion Emergency nursing can improve the emergency efficiency and quality of ACS patients,and the quality of life of patients after emergency can be significantly improved as well,which is worthy of popularization and application.
文摘Objective: To study the altering rule of coagulation function at molecular level in patients with secondary brain injury (SBI). Methods: Tissue factor (TF) and tissue factor pathway inhibitor (TFPI) were studied in 32 patients 1, 2, 3 and 7 days after craniocerebral injury. Repeated cranial CT scans and platelet counts were made simultaneously. Same measurements were done in 30 normal adults except CT scan. Results: No obvious difference was found in age, sex and platelet count between the injured and the normal groups. TFPI/TF decreased markedly in the first week after injury in patients with SBI, but only decreased on the 7th day in the patients without obvious SBI. For the patients who developed delayed intracranial hematoma (DIH) or hematoma enlargement, TF rose only 1 and 2 days after injury, but TFPI had a tendency to rise again after a fall on the 3rd day. For those patients who developed no DIH, TF rose all the time within the 1st week. Conclusions: Decrease of TFPI/TF for a long time, especially within 3 days after injury, may be one of the most important reasons for SBI. High expression of TF for a relative short time and increase of TFPI after a fall within 3 days may be one of the important reasons for DIH or hematoma enlargement.
