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378篇 您的检索式:作者名="Dellinger P"
    题名 作者 年代 出处 被引量
1呼吸音分析技术用于心源性和非心源性呼吸困难的鉴别诊断显示文摘目的 临床上心力衰竭,慢性阻塞性怖病和哮喘急性加重时均可以通过听诊器发现异常呼吸音,目前为止尚不能对以上呼吸音进行定量分析。对于就诊于急诊科的呼吸困难患者,鉴别诊断其发生原因对于临床治疗措施和预后关系密切。本研究的目的就是应用计算机辅助的呼吸音分析技术对心源性和非心源行呼吸困难时的呼吸音进行定量分析,同时评价其临床应用价值。方法本实验为前瞻性临床研究,应用呼吸音分析记录装置记录患者呼吸过程中所产生的呼吸音,通过计算机辅助技术将呼吸音转化成图像。收集因急性呼吸困难来北京大学第三医院急诊就诊的患者59人,根据患者最终出院诊断分为3组:急性心力衰竭患者22人,慢性阻塞性肺病急性加重期患者19人,哮喘急性发作患者18人。选择同期健康志愿者20人作为对照组。对三组患者的呼吸音图像进行定量分析,分析指标为吸气相最大呼吸音能量图面积和最大吸气相/最大呼气相能量比值。组间比较采用t检验。结果健康对照组、心力衰竭组、慢性阻塞性肺病急性加重期患者和哮喘急性发作患者的吸气相最大呼吸音能量图面积分别为:(76.2±4.5),(67.6±6.7),(72.2±7.6)和(52±11.7)千像素(P〈0.01)。健康对照组、心力衰竭组、慢性阻塞性肺病急性加重期患者和哮喘急性发作患者的吸气相最大呼吸音能量图左右侧面积之比分别为1:1、1:1、1:1和1:0.4。健康对照组、心力衰竭组、慢性阻塞性肺病急性加晕期患者和哮喘急性发作患者的最大吸气相/呼气相能量峰值比值分别为:(6.3±5.2),(5.6±4.0),(2.0±2.2)和(0.3±0.3),P〈0.01:结论与健康对照相比较,心力衰竭患者组的吸气相最大呼吸音能量图面积明显缩小,吸气相最大呼吸音能量图左右面积之比及最大吸气相/最大呼气相能量比值尢差别;与健康对照相比较,慢性阻塞性肺病患者的吸气相最大呼吸音能量图面积无差别,吸气相最大呼吸音能量图左右面积之比无差别,最大吸气相/最大呼气相能量比值明显缩小;与健康对照相比较,哮喘患者的吸气相最大呼吸音能量图面积明显缩小,吸气相最大呼吸音能量图左右面积不对称,最大吸气相/最大呼气相能量比值明显缩小。以上图像特点对鉴别心力衰竭、阻塞性肺病和哮喘所引起的呼吸困难有帮助。王真 Smith Jean Richard P Dellinger 2009中华急诊医学杂志2009,18,12:3
2Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock显示文摘DELLINGER R P LEVY M M CARLETJ M 2008Intens Care Med2008,34,:1
3Surviving Sepsis Campaign: International Guidelines for Management of Severe Sepsis and Septic Shock: 2012 显示文摘Dellinger P Levy MM Rhodes A 2013Critical Care Med2013,41,2:1
4Sepsis change bundles:Converting guide lines into meaningful change in behavior and clinical outcome显示文摘Levy M Pronovost P Dellinger P 2004Crit Care Med2004,32,:1
5Surviving Sepsis Campaign:international guidelines for management of severe sepsis and septic shock:2008显示文摘DELLINGER R P LEVY M M CARLET J M 2008Crit Care Med2008,36,1:1
6Surviving sepsis campaign (SSC) guidelines for management of severe sepsis and septic shock显示文摘Dellinger R P Carlet J M Masur H 2004Crit Care Med2004,32,:1
7surviving sepsis campaign guidelines for management of severe sepsis and septic shock显示文摘Dellinger R P Carket J M Masur H 2004Crit Care Med2004,32,:1
8Surviving sepsis campaign guideline for treatment of severe sepsis and septic shock 显示文摘DELLINGER R P CARLET J M MASUR H 2004Crit Care Med2004,32,3:1
9Surviving Sepsis Campaign:International guidelines for management of severe sepsis and septic shock,2012显示文摘Dellinger R P Levy M M Rhodes A 2013Intensive Care Med2013,39,:1
10Lyotropic liquid crystals as nanoreactors for nanoparticle synthesis显示文摘DELLINGER TM BRAUN P V 2004Chem Mater2004,16,11:1
11Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock 显示文摘Dellinger R P Carlet J M Masur H 2001Crit Care Med2001,32,3:1
12Surviving sepsis campaign guidelines for management of severe sepsis and septic shock显示文摘Dellinger R P Carlet J M Masur H 2004Intensive care Med2004,30,:1
13Surviving sepsis campaign guidelines for management of sevelt sepsis and septic shock 显示文摘Dellinger R P Cadet J M Masur H 2004Crit Care Med2004,32,3:1
14Surviving sepsis cam- paign:international guidelines for management of severe sepsis and septic shock:2012显示文摘Dellinger R P Levy M M Rhodes A 2013Crit Care Med2013,41,2:1
15Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock显示文摘Dellinger R P Levy M M Carlet J M 2008Intensive Care Med2008,34,1:1
16Surviving Sepsis Campaign:international guidelines for management of severe sepsis and septic shock:2008显示文摘DELLINGER R P LEVY M M CARLET J M 2008Intensive Care Med2008,34,1:1
17Surviving sepsiscampaign: international guidelines for management of severesepsis and septic shock显示文摘Dellinger R P Levy M M Carlet J M 2008Intensive Care Med2008,34,1:1
18Clinical practice guidelines for antimicrobial prophylaxis in surgery显示文摘Bratzler DW Dellinger P Keith M 2013Am J Health-syst Pharm2013,11,1:1
19Use of GRADE grid to reach decisions on clinical practice guidelines when consensus is elusive显示文摘JAESCHKE R GUYATT G H DELLINGER P 2008BMJ2008,337,:1
20Surviving Sepsis Cam paign:international guidelines for management of severe sepsis and septic shock:2008显示文摘Dellinger R P Levy M M Carlet J M 2008Crit Care Med2008,36,1:1
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