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4. Effect of percutaneous injection of hemostatic agents guided by ultrasound for arresting active hemorrhage after renal biopsy

Author

Yan-duan Lin, rui Li, Qiao-min Fu, Jiang-hua Chen, Kun-jian Li, Xiao-feng Zhou, and Hui-pin Chen

Subjects
contrast-enhanced ultrasound, renal biopsy, active hemorrhage, hemostatic agents, Internal medicine, RC31-1245
Abstract

ObjectiveTo evaluate the clinical application of percutaneous injection of hemostatic agents guided by ultrasound for arresting active hemorrhage after renal biopsy. MethodsFrom January 2019 to December 2022, 10 cases of active hemorrhage after renal biopsy on ultrasound were retrospectively examined. Hemorrhage continued despite simple compression and it was treated by a percutaneous injection of hemostatic agents under ultrasonic guidance. Then hemostatic outcomes were also evaluated by ultrasound. ResultsUltrasound could detect the hemorrhagic site to enable an accurate injection of hemostatic agents. After injection, there was no active hemorrhage. ConclusionsPercutaneous injection of hemostatic drugs guided by ultrasound for arresting active hemorrhage after renal biopsy offer the advantages of rapid, accurate, effective, simple, repeatable and non-radioactive. This technique is a novel alternative for bedside immediate management of active hemorrhage after renal biopsy. At the same time, considering the safety of two kinds of hemostatic agents, hemocoagulase may be preferentially selected for local hemostasis of active hemorrhage after renal biopsy. When hemocoagulase fails to control active hemorrhage, thrombin can be replaced for hemostasis.

Published
2024
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15. Association between lactic acidosis and multiple organ dysfunction syndrome after cardiopulmonary bypass

Author

Dan Zheng, Guo-Liang Yu, Yi-Ping Zhou, Qiao-Min Zhang, Chun-Guo Wang, and Sheng Zhang

Subjects
Cardiopulmonary bypass, Acidosis, Lactic, Hyperlactatemia, Multiple organ dysfunction syndrome, Medicine, Biology (General), QH301-705.5
Abstract

Background The relationship between hyperlactatemia and prognosis after cardiopulmonary bypass (CPB) is controversial, and some studies ignore the presence of lactic acidosis in patients with severe hyperlactacemia. This study explored the association between lactic acidosis (LA) and the occurrence of multiple organ dysfunction syndrome (MODS) after cardiopulmonary bypass. Methods This study was a post hoc analysis of patients who underwent cardiac surgery between February 2017 and August 2018 and participated in a prospective study at Taizhou Hospital. The data were collected at: ICU admission (H0), and 4, 8, 12, 24, and 48 h after admission. Blood lactate levels gradually increased after CPB, peaking at H8 and then gradually decreasing. The patients were grouped as LA, hyperlactatemia (HL), and normal control (NC) based on blood test results 8 h after ICU admission. Basic preoperative, perioperative, and postoperative conditions were compared between the three groups, as well as postoperative perfusion and oxygen metabolism indexes. Results There were 22 (19%), 73 (64%), and 19 (17%) patients in the LA, HL, and NC groups, respectively. APACHE II (24h) and SOFA (24h) scores were the highest in the LA group (P

Published
2024
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34. Maintenance Optimization Strategy of Modular Multilevel Converter

Author

Liu, Li, Huang, Meng, Bai, Liangjun, Qiao, Min, Angrisani, Leopoldo, Series Editor, Arteaga, Marco, Series Editor, Panigrahi, Bijaya Ketan, Series Editor, Chakraborty, Samarjit, Series Editor, Chen, Jiming, Series Editor, Chen, Shanben, Series Editor, Chen, Tan Kay, Series Editor, Dillmann, Rüdiger, Series Editor, Duan, Haibin, Series Editor, Ferrari, Gianluigi, Series Editor, Ferre, Manuel, Series Editor, Hirche, Sandra, Series Editor, Jabbari, Faryar, Series Editor, Jia, Limin, Series Editor, Kacprzyk, Janusz, Series Editor, Khamis, Alaa, Series Editor, Kroeger, Torsten, Series Editor, Li, Yong, Series Editor, Liang, Qilian, Series Editor, Martín, Ferran, Series Editor, Ming, Tan Cher, Series Editor, Minker, Wolfgang, Series Editor, Misra, Pradeep, Series Editor, Möller, Sebastian, Series Editor, Mukhopadhyay, Subhas, Series Editor, Ning, Cun-Zheng, Series Editor, Nishida, Toyoaki, Series Editor, Oneto, Luca, Series Editor, Pascucci, Federica, Series Editor, Qin, Yong, Series Editor, Seng, Gan Woon, Series Editor, Speidel, Joachim, Series Editor, Veiga, Germano, Series Editor, Wu, Haitao, Series Editor, Zamboni, Walter, Series Editor, Zhang, Junjie James, Series Editor, Liang, Xidong, editor, Li, Yaohua, editor, He, Jinghan, editor, and Yang, Qingxin, editor

Published
2022
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