[Effects of Blood Glucose Levels on Liver Functions in Sepsis Patients].

OBJECTIVES: To explore the effects of blood glucose levels on liver functions in patients with sepsis treated in intensive care unit (ICU). METHODS: We performed a retrospective study on 93 patients with sepsis between March 2014 to January 2015. Patients were divided into two groups according to the initial blood glucose levels when admitted to ICU: high glucose group (blood glucose>10 mmol/L) and normal glucose group(blood glucose≤10 mmol/L). Routine blood test results, liver functions and coagulations function were compared between the two groups. RESULTS: On the first day of ICU admission, patients in normal glucose group had lower blood platelet count, higher total bilirubin (TB) and direct bilirubin (DB) levels, lower high density lipoprotein cholesterol (HDL-C) level, lower low density lipoprotein cholesterol (LDL-C) level, longer prothrombin time (PT), longer international normalized ratio (INR), longer activated partial thromboplastin time (APTT) and lower antithrombin Ⅲ (AT Ⅲ) level ( P<0.05). However, seven days after ICU admission, there were no significant differences between the two groups ( P>0.05). CONCLUSIONS: In patients with sepsis, normal blood glucose level might represent severe liver damage.

[The Value of Early Diastolic Transmitral Velocity to Early Mitral Anulus Diastolic Velocity Ratio for Pulmonary Edema in Severe Sepsis Patients].

OBJECTIVES: To determine the association between the value of early diastolic transmitral velocity to early mitral anulus diastolic velocity ratio (E/E')measured by bedside ultrasound and pulmonary edema in severe sepsis (including septic shock) patients. METHODS: Data were obtained from the critical ultrasound database between November 2014 and August 2015. The severe sepsis (including septic shock) patients were eligible, but those with chronic heart disease or acute heart failure were excluded. Pulmonary edema was quantified by lung ultrasound score. The patients were divided into two groups according to lateral E/E'. E/E'-high group was defined as the lateral E/E'>8, and the others were in E/E'-low group. The severity and distribution of pulmonary edema were compared between the two groups. The correlation analysis and logistic regression analysis were performed to determine whether E/E' was the independent risk factor of pulmonary edma. RESULTS: There were 82 cases included. The lung ultrasound score of E/E'-high group was significantly higher than that of E/E'-low group ( P=0.007). There was no statistic difference of pulmonary edema severity in the bilateral 5 th and 6 th ultrasound exam areas, but E/E'-high group were more severe in the bilateral 1 th to 4 th ultrasound exam areas ( P=0.004). Linear-regression analysis demonstrated that E/E' and inferior vena cava diameter were independent risk factors of pulmonary edema (standardized regression coefficients were 0.425 and 0.249, respectively, P<0.05). CONCLUSIONS: E/E' is the independent risk factor of pulmonary edema in severe sepsis and septic shock patients.

[Aesthetic result of dense-packing single-hair autologous grafting for eyelash].

OBJECTIVE: To explore the aesthetic result of dense-packing single-hair grafting for eyelash. METHODS: Twenty-six female cases were treated with the donor sites at the occipital safe area. The single-hair grafts were made with the hair of 4cm in length. The grafts were transplanted to the upper lid margin with needle technique, 30-40 grafts at each side. RESULTS: The hair grafts survived very well with good growth direction. It looked even better when it had a permanent wave or the mascara was applied. The survival rate of hair grafts was more than 95%. CONCLUSIONS: It is feasible to improve the shorter and thinner eyelash by dense-packing single-hair grafts.