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聚酯废料的回收——来源、工艺方法及最终用途

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国外纺织技术（纺织针织服装化纤染整） 1999年第11期 7-10页

作者： v.nadkarni 高善荣

关键词：聚酯废料回收来源工艺废物处理垃圾处理

儿童和成人住院期间心脏骤停时首次确诊的心脏节律与临床结局

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世界核心医学期刊文摘（心脏病学分册） 2006年第5期2卷 9-10页

作者： nadkarni v. M Larkin G. L Peberdy M. A 刘宇(译) 马超(校) Departments of Anesthesia Criti- cal Care and Pediatrics. University of Pennsylvania School of Medicine 34th St. and C. Ctr. Blvd. S. Twr. Philadelphia PA 19104-4399 United States 不详

Context: Cardiac arrests in adults are often due to ventricular fibrillation(vF) or pulseless ventricular tachycardia(vT), which are associated with better outcomes than asystole or pulseless electrical activity(PEA). Cardiac arrests in children are typically asystole or PEA. Objective: To test the hypothesis that children have relatively fewer in-hospital cardiac arrests associated with vF or pulseless vT compared with adults and, therefore, worse survival outcomes. Design, Setting, and Patients: A prospective observational study from a multicenter registry(National Registry of Cardiopulmonary Resuscitation) of cardiac arrests in 253 US and Canadian hospitals between January 1, 2000, and March 30, 2004. A total of 36 902 adults(≥ 18 years) and 880 children(very department, neonatal intensive care unit, and in the out-of-hospital setting were excluded. Main Outcome Measure: Survival to hospital discharge. Results: The rate of survival to hospital discharge following pulseless cardiac arrest was higher in children than adults(27% [236/880] vs 18% [6485/36 902]; adjusted odds ratio[OR], 2.29; 95% confidence interval[CI], 1.95- 2.68). Of these survivors, 65% (154/236) of children and 73% (4737/6485) of adults had good neurological outcome. The prevalence of vF or pulseless vT as the first documented pulseless rhythm was 14% (120/880) in children and 23% (8361/36 902) in adults(OR, 0.54; 95% CI, 0.44- 0.65; Pvalence of asystole was 40% (350) in children and 35% (13 024) in adults(OR, 1.20; 95% CI, 1.10- 1.40; P=.006), whereas the prevalence of PEA was 24% (213) in children and 32% (11 963) in adults(OR, 0.67; 95% CI, 0.57- 0.78; Pventions in place at time of arrest, witnessed and/or monitored status, time to defibrillation of vF or pulse

关键词：心脏骤停住院期间成人儿童临床结局心脏节律确诊首次室性心动过速新生儿监护室

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院内心室颤动患儿的预后

世界核心医学期刊文摘（心脏病学分册） 2006年第11期2卷 7-8页

作者： Samson R.A. nadkarni v.M. Meaney P.A. R.A. Berg 吴晓燕 Steele Children's Research Center College of Medicine University of Arizona 1501 N. Campbell Ave. Tucson AZ 85724-5073 United States Dr.

Background: ventricular fibrillation and ventricular tachycardia are less common causes of cardiac arrest in children than in adults. These tachyarrhythmias can also begin during cardiopulmonary resuscitation(CPR), presumably as reperfusion arrhythmias. We determined whether the outcome is better for initial than for subsequent ventricular fibrillation or tachycardia. Methods: All cardiac arrests in persons under 18 years of age were identified from a large, multicenter, in-hospital cardiac-arrest registry. The results from children with initial ventricular fibrillation or tachycardia, children in whom ventricular fibrillation or tachycardia developed during CPR, and children with no ventricular fibrillation or tachycardia were compared by chi-square and multivariable logistic-regression analysis. Results: Of 1005 index patients with in-hospital cardiac arrest, 272(27 percent) had documented ventricular fibrillation or tachycardia during the arrest. In 104 patients(10 percent), ventricular fibrillation or tachycardia was the initial pulseless rhythm; in 149 patients(15 percent), it developed during the arrest. The time of initiation of ventricular fibrillation or tachycardia was not documented in 19 patients. Thirty-five percent of patients with initial ventricular fibrillation or tachycardia survived to hospital discharge, as compared with 11 percent of patients with subsequent ventricular fibrillation or tachycardia(odds ratio, 2.6; 95 percent con-fidence interval, 1.2 to 5.8). Twenty-seven percent of patients with no ventricular fibrillation or tachycardia survived to hospital discharge, as compared with 11 percent of patients with subsequent ventricular fibrillation or tachycardia(odds ratio, 3.8; 95 percent confidence interval, 1.8 to 7.6). Conclusions: In pediatric patients with in-hospital cardiac arrests, survival outcomes were highest among patients in whom ventricular fibrillation or tachycardia was present initially than among those in whom it developed s

关键词：心室颤动心脏停搏快速型心律失常心肺复苏术再灌注心律失常儿科患者心搏停止试验结果继发者

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血糖变异性和重症患儿生存率的关系

中国小儿急救医学 2010年第6期 510-510页

作者： Rake AJ Srinivasan v nadkarni v 杨明首都医科大学附属北京儿童医院

目的评价血糖变异性是否与重症患儿的病死率独立相关,同时研究重症患儿血糖的临时性变化特点。设计回顾性队列研究。场所一家拥有20张床的儿童医院PICU。对象收入PICU 72 h内至少做过12次血糖检测的0～20岁患儿。干预无测量指标和主结果... 详细信息

目的评价血糖变异性是否与重症患儿的病死率独立相关,同时研究重症患儿血糖的临时性变化特点。设计回顾性队列研究。场所一家拥有20张床的儿童医院PICU。对象收入PICU 72 h内至少做过12次血糖检测的0～20岁患儿。干预无测量指标和主结果 101例符合入选条件的患儿共进行了3 144次检测,总体病死率为16%。死亡患儿的血糖浓度中位数较高(129 mg/dl vs 118 mg/dl,P200 mg/d1)(88%vs 59%,P>0.05)和低血糖(vs 15%,Pvs 185 mg/dl,Pvs 45mg/dl,P=0.02)也较存活组高。血糖变异性三分位数与病死率升高成比例相关(6%vs 15%vs 27%,P=0.07)。与存活组比较,死亡组在入院48h内及入院1周后的每日血糖变异性显著增高。在控制了混杂因素影响后,发现每mg/dl的血糖变异与PICU的病死率独立相关(校正OR 1.03,95%CI.01～1.05)。结论重症患儿常见血糖变异性增高,且与病死率升高相关。早期血糖变化可能仅为一种异常状态,后期血糖波动可能是机体自主调节能力下降的表现,因而病死率也更高。在制定血糖控制策略时,应充分考虑控制血糖变异性的必要性。

关键词：血糖变异性高血糖重症儿童病死率异常状态