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5个月有创机械通气患者成功撤机一例并文献复习
Prolonged Weaning: One Case Report and Literature Review
 [PDF]

史鹏,安东善,孙伟红,张维杰
- , 2015, DOI: 10.7507/1671-6205.2015049
Abstract: 目的提高对延迟撤机的认识。 方法回顾性分析1例5个月有创机械通气患者成功撤机的病例,并进行相关文献复习。 结果1例5个月有创机械通气患者,诊断为呼吸机相关性肺炎、Ⅱ型呼吸衰竭、格林巴利综合征、低蛋白血症、贫血、电解质紊乱。经过控制感染、营养支持、心理疏导、逐步撤离呼吸机,最终成功。 结论延迟撤机相对困难,需要较长的时间,专业的治疗团队和专门的治疗场所。相关报道较少。
ObjectiveTo improve the understanding of prolonged weaning. MethodsA clinical case of prolonged weaning who had been successfully weaned from mechanical ventilation was retrospectively analyzed. The related literature was also reviewed. ResultsThe patient received invasive mechanical ventilation for 5 months,diagnosed as ventilator-associated pneumonia,type Ⅱrespiratory failure,Green-Barry syndrome,hypoproteinemia,anemia,and electrolyte disorder. Through the control of infection,nutritional support,psychological counseling,the patient was weaned from ventilator gradually and succeeded eventually. ConclusionsProlonged weaning is relatively difficult and wastes a long time. Professional treatment team and specialized treatment room are necessory. There are few reports about prolonged weaning.
老年慢性阻塞性肺疾病急性加重患者有创机械通气撤机失败危险因素分析
Risk Factors Associated with Failure of Weaning from Invasive Mechanical Ventilation in Gerontal Patients with Acute Exacerbation of COPD
 [PDF]

杨嘉雯,王宗强,王小华
- , 2015, DOI: 10.7507/1671-6205.2015005
Abstract: 目的探讨进行有创机械通气的老年慢性阻塞性肺疾病(简称慢阻肺)急性加重患者撤机失败的危险因素。 方法采用回顾性研究, 选取2012年7月至2014年6月行有创机械通气治疗并符合撤机条件的76例65岁及以上慢阻肺急性加重患者。患者进行自主呼吸试验(SBT), 通过后观察48 h, 无需重新行机械通气者纳入撤机成功组, 不能通过SBT或通过SBT后48 h内需重新行机械通气者纳入撤机失败组, 分析撤机失败的危险因素。 结果53例患者纳入撤机成功组, 23例纳入撤机失败组。撤机失败组脓毒症、多器官功能障碍综合征(MODS)、真菌感染、低蛋白血症、机械通气时间 > 14 d、气胸、心力衰竭、糖尿病、冠心病和肝功能不全发生率高于撤机成功组(P < 0.05)。Logistic回归分析结果显示MODS(OR=8.070)、机械通气时间 > 14 d(OR=17.760)、心力衰竭(OR=4.597)、糖尿病(OR=13.937)是撤机失败的危险因素(P < 0.05)。 结论MODS、机械通气时间 > 14 d、心力衰竭、糖尿病是老年慢阻肺急性加重患者有创机械通气撤机失败的危险因素。
ObjectiveTo investigate the risk factors associated with failure of weaning from invasive mechanical ventilation in gerontal patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). MethodsA retrospective study was conducted on 76 patients aged 65 years and older with AECOPD who received invasive mechanical ventilation and met the weaning criteria from July 2012 to June 2014. The subjects who passed the spontaneously breathing trial (SBT) and did not need mechanical ventilation within 48 h were enrolled into a weaning success group. The subjects who did not pass the SBT or needed mechanical ventilation again within 48 h were enrolled into a weaning failure group. The risk factors associated with failure of weaning were studied by univariate and multivariate Logistic regression analysis. ResultsThere were 53 subjects in the weaning success group and 23 in the weaning failure group. The incidences of sepsis, multiple organ dysfunction syndrome (MODS), fungal infection, hypoproteinemia, duration for mechanical ventilation > 14 d, the prevalences of aeropleura, cardiac failure, diabetes, coronary heart disease and hepatic insufficiency were higher in the weaning failure group than those in the weaning success group (P < 0.05). Logistic analysis revealed that MODS (OR=8.070), duration for mechanical ventilation > 14 d (OR=17.760), cardiac failure (OR=4.597) and diabetes (OR=13.937) were risk factors of weaning failure (P < 0.05). ConclusionMODS, duration for mechanical ventilation > 14 d, cardiac failure and diabetes were associated with the failure of weaning from invasive mechanical ventilation in gerontal patients with AECOPD.
我国流通业外资进入的就业效应研究  [PDF]
黄雨婷
- , 2017, DOI: 10.16538/j.cnkij.fe.2017.03.010
Abstract: 作为国民经济的基础产业和先导产业,流通业的重要作用之一在于吸纳就业。而持续的外资进入对我国流通行业造成了巨大冲击,并对其行业内就业产生了十分复杂的影响。文章从理论上探讨了流通业外资进入对行业内就业产生的直接影响和间接影响,并对其总体影响进行了验证。面板门限回归模型的估计结果表明,流通业 FDI 对行业内就业具有类“漏斗形”的非线性的影响:当流通业 FDI 小于270.16亿时,流通业 FDI 对行业内就业有着挤出效应;当流通业 FDI 处于270.16亿至5182.28亿时,流通业 FDI 对行业内就业不存在显著影响;当流通业 FDI 水平高于5182.28亿时,流通业 FDI 对行业内就业有着正向拉动作用。通过对流通业外资进入影响就业的机制进行检验,文章进一步指出,流通业外资进入主要通过商业集聚效应、市场竞争效应、劳动力再分配效应以及流通渠道再造效应对就业产生影响,且流通业外资进入产生的就业效应主要是通过对内资批发业的影响而产生的。文章提出,流通业外资进入存在的“就业陷阱”值得警惕—在相当长时间内,流通业外资进入对我国绝大多数地区的行业内就业会产生负向挤出效应。这一研究结论对于不同地区,尤其是三、四线市场吸纳外资的态度和政策具有一定指导意义。
会讯  [PDF]
地球物理学报 , 1959,
Abstract: 一、中国地球物理学会工作委員会召开第一次全体会議:工作委員会于1959年4月2日召开第一次会議,由学会前任理事长赵九章主持。先由願功叙理事代表学会理事会作如下的传达和建議:(一)传达了1958年9月全国科协第一次代表大会上聶荣臻副总理关于“我国科学技术工作发展的道路”的报告和代表大会的主要精神和决議:为了适应我国社会主义大跃进的新形势,更好地担負起技术革命新时期的重大任务。
网络书业书目初探  [PDF]
中国图书馆学报 , 2001,
Abstract: 网络书业书目,是由出版社和书店在自己网站的主页上发布的书业书目。但在目前,它们对书的著录,大多比较简单,流通信息也不畅,影响用户网上订购。对网络书业书目应加强管理,使其真正发挥书业书目的作用。参考文献12。
统防统治:农民兼业与农药施用  [PDF]
纪月清,刘亚洲,陈奕山
南京农业大学学报(社会科学版) , 2015,
Abstract: 本文从农民兼业与施药不同步的角度解释了粮食作物农药施用强度的增长.基于农村固定观察点数据运用固定效应回归模型对农民兼业与农药施用之间关系进行实证分析.研究结果表明,自家农业劳动力本地非农兼业对农户农药施用强度的影响不显著;外地兼业会显著减少水稻的亩均农药施用量,但对小麦和玉米的影响不显著.然而,区域内其他户农业劳动力的兼业比例提升会显著增加本户在小麦、玉米、水稻生产中的亩均农药施用量.这暗示兼业所导致的区域性施药不同步会产生负的外部影响.
This article provided an explanation for the increase of pesticide use: farmers’ part-time jobs led to the failure of collective prevention. Based on the Fixed Point Rural Survey (FPRS) data, Ministry of Agriculture (MOA) and with the fixed effect regression model used, an empirical analysis on the relationship between part-time jobs and pesticide input. The results showed that there was no significant impact on their own pesticide input in wheat and corn if farmers took part-time jobs in local and non-local areas, while taking part-time jobs in non-local areas decreased their own pesticide input for rice. However, the participation in part-time jobs on the part of other farmers in a region increased this former’s pesticideinput for the three crops. This implied that the negative impact externality might be caused by participation in part-time jobs due to the failure of take part in collective prevention of pest
中国乳业发展状况  [PDF]
黄筱声
食品科学 , 2004,
Abstract: ?阐述中国乳业的现状、发展趋势、中国乳业的竞争要遵纪守法、中国乳业的发展要靠科技振兴。针对部分媒体有关乳业生产和消费方面的概念炒作,本文对杀菌乳、灭菌乳、酸奶、乳酸菌饮料、还原奶、早产奶、奶粉、奶酪等乳制品作了概念上的澄清,并对“乳糖不耐受症”作了综合表述。
我 国 休 闲 农 业 中 植 物 休 闲 活 动 研 究  [PDF]
张东梅1,张 彦2,吕 良2
北方园艺 , 2010, DOI: 10.11937/bfyy.201017092
Abstract:
中国奶牛业与日本奶牛业之比较分析  [PDF]
中国农业资源与区划 , 2004, DOI: 10.7621/cjarrp.1005-9121.20040698
Abstract: 中国的奶牛业有许多方面可以向日本学习和借鉴。该文从发展速度、生产水平、生产技术水平、生产成本与收益、乳品加工、政府扶持政策等6个方面比较了中日两国奶牛业发展情况,进而得出对中国奶牛业发展的启示与建议。
世界鹅业与吉林鹅业  [PDF]
高光,吴伟,王喜坤,袁树国
吉林农业大学学报 , 2004,
Abstract: ?介绍了国内外养鹅业发展现状、鹅产品市场需求,分析了吉林省发展鹅业的优势及目前存在的主要问题,提出了吉林省鹅业的发展思路:建立市场信息体系、良种繁育体系、疾病防疫体系、科技攻关和服务体系、产品深加工体系、质量标准和品质监测体系,同时还要加速吉林省鹅业产业化发展进程。
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