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Objective:To investigate the value of clinical monitoring of regional cerebral oxygen saturation (SctO2) for severe traumatic brain injury (sTBI). Methods:From December, 2017 to January, 2019, 33 patients with sTBI within 24 hours were monitored SctO2, intracranial pressure (ICP) and cerebral perfusion pressure (CPP) with near-infrared spectroscopyonce per six hours for seven days. They were assessed with Glasgow Coma Score (GCS) at admission and Glasgow Outcome Score (GOS) six months after injury. Results:SctO2 was the lowest on the third day of monitoring, and then increased gradually. SctO2 negatevely correlated with ICP (r < -0.857, P < 0.001), and positively correlated with GCS, CPP and GOS (r > 0.697, P < 0.05). Conclusion:SctO2 monitoring is valuable after sTBI to identify the secondary injuries and severity of injuries, and predict the outcome partly.
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This paper mainly discussed how Chinese archaic ideologist realize emotionality. The contents include five aspects: emotionality is related to human nature and morality; Chinese pay more attention to cultivate himself according to morality, control his emotion and need, keep harmonious relationship with others, emotionality is in association with or- gans. The author thought that the meaning of Chinese emotionality is not only the emotional reaction of oneself, but in- volves comprehensive features of individual emotional response, dealing with matters and behaviors, and it is closely relat- ed to the cultivation of morality and human nature and relative to human nature and morality. Chinese opinion is different from western psychologists’thoughts.