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Objective To analyze the efficacy of continuous blood purification in SIRS combined ARF patients and nursing measures. Methods 21 cases of SIRS combined ARF patients were selected and accepted CBP and the corresponding nursing countermeasures respectively. Before and 1 day and 2 days after CBP, MEWS, APACHE II and SAPS II scores, renal function and inflammatory factor were evaluated. Results After CBP treatment for 1 day, MEWS, APACHE II, SAPS II, BUN, Scr, IL-6, IL-10 and TNF-α were significantly decreased (P < 0.05). Compared with before and 1 day after CPB, MEWS, APACHE II, SAPS II, BUN, Scr, IL-6, IL-10 and TNF-α were significantly lower at 2 days after treatment (P < 0.05). Conclusion CBP is an effective way for treatment of SIRS combined ARF, and adopting the corresponding nursing measures will help to adjust the state of the patients with SIRS. [ABSTRACT FROM AUTHOR]

Objective To evaluate the value of dynamic contrast - enhanced magnetic resonance imaging (MR) in differential diagnosis of benign and malignant breast lesions. Methods 50 cases verified by histopathology with breast diseases were enrolled to exam three dimensional dynamic contrast-enhanced scanning. Morphological characteristics of the lesion were analyzed, the time - signal intensity curve type were measured. Results 50 cases were confirmed by histopathology, among them 24 cases of malignant and 26 cases of benign. Morphological characteristics and curve type were significantly different between breast benign and malignant lesions (P < 0.05). Diagnostic sensitivity of lesion morphological characteristics was 91.7% (22 /24), specificity was 84.6% (22/26), accuracy was 88.0% (44/50). Diagnostic sensitivity of lesion time - signal intensity curve type was 92.3% (24/26), specificity was 73.1% (19/26), the accuracy was 86.0% (43/50). Combination of the two joint diagnostic criteria had 100.0% sensitivity (24/24) and specificity 94.4%, (24/26), 96.0% accuracy (48/50). Conclusion Dynamic contrast-enhanced breast imaging can provide a wealth of morphological information, time-signal intensity curve type reflects hemodynamic information, the combination of benign and malignant disease diagnosis and differential diagnosis has important value. [ABSTRACT FROM AUTHOR]