name | 王仲春 |
sex | male
|
age | 57 岁 |
hospital number | 045200 |
height | 170 cm |
weight | 60 kg |
BSA | 1.65 m2 |
APACHEⅡ | 20 分 |
Infection source | lung
|
date | 2017/4/14 年/月/日 |
Sequential Organ Failure Assessment | 15 分 |
Fluid resuscitation | CVP8-12 mmHg
/MAP≥65 mmHg
/ScvO2≥70%
/urine volume≥0.5
|
age>=60 | yes
|
septic shock | yes
|
mechanical ventilation | trachea cannula
|
Early fluid resuscitation | yes
|
age<60 | no
|
Pregnant woman | no
|
advanced malignant tumor | no
|
Pulmonary interstitial fibrosis | no
|
Serious arrhythmia | no
|
Small Tidal Volume Ventilation | no
|
Liver failure | no
|
Refuse to participate | no
|
Heart disease | no
|
no
|
|
no
|
|
no
|
|
no
|
|
no
|
- vital signs
- Blood Gas Analysis
- vasoactive agent and fluid
- PiCCO parameters
- Cardiac Ultrasound
- lung ultrasound
- inferior vena cava
no
|
|
米卡芬净100mgQD,斯沃0.6gQ12H |
|
vasoactive agent | norepinephrine
|
30 min |
|
30 min |
|
30 min |
Temperature | 38.6 ℃ |
Heart Rate | 128 次/分 |
Breath | 25 次/分 |
Systolic pressure (SP) | 109 mmHg |
Diastolic pressure | 56 mmHg |
mean arterial pressure | 71 mmHg |
Pcv-aCO2 | 10 mmHg |
DO2 | 349.9 |
VO2 | 116.6 |
Ca-vO2 | 33.8 |
pH value | 7.25 |
PaO2 | 39 mmHg |
PaCO2 | 63 mmHg |
BE | -0.4 mmol/L(±2.3mmol/L) |
SaO2 | 63 % |
Blood lactic acid concentration, LAC | 4.2 mmol/L |
Oxygenation index (PaO2/FiO2) | 39 mmHg |
pH value | 7.23 |
PcvO2 | 29 mmHg |
PcvCO2 | 73 mmHg |
BE | 1.6 mmol/L |
ScvO2 | 42 % |
Volume of input | 0 ml |
Volume of output | 0 ml |
Volume of urine | 0 ml |
ultrafiltration volume | 0 ml |
norepinephrine | yes
|
Norepinephrine Dosage | 0.45 μg/Kg/min |
dopamine | no
|
Dopamine Dosage | 0 μg/Kg/min |
Dobutamine | No
|
Dobutamine Dosage | 0 μg/Kg/min |
CVP | 11 mmHg |
cardiac output | 3.45 L/min |
cardiac index | 1.91 L/min/m2 |
stroke volume | 27 ml |
Stroke Index | 14.9 ml/m2 |
ITBVI | 831 ml/m2 |
GEDVI | 665 ml/m2 |
EVLWI | 13.6 ml/kg |
PVPI | 3.0 |
SVRI | 2517 DSm2/cm5 |
CFI | 3 |
GEF | 9 % |
SVV | 24 % |
PPV | % |
dPmax | 1155 |
LVEF | % |
FS | % |
SV | ml |
CO | L/min |
E peak |
|
A peak |
|
E/A |
|
Ea(ventricular septum) |
|
Ea(lateral wall) |
|
E/Ea(ventricular septum) |
|
E/Ea(lateral wall) |
|
MAPSE | mm |
TAPSE | mm |
RV size | |
LVEDV | ml |
LVEDD | cm |
the number of B line | 条 |
LUS | 分 |
B+ Zone | 区 |
IVC(inspiratory phase) | mm |
IVC(expiratory phase) | mm |
respiratory variations of inferior vena cavae diameter | % |
mm |
|
mm |
|
mm |
|
mm |
- Vital Signs
- Blood Gas Analysis
- Vasoactive Agent and Fluid
- PiCCO Parameters
- Cardiac Ultrasound
- Lung Ultrasound
- Inferior Vena Cava
Temperature | 37.8 ℃ |
Heart Rate | 135 次/分 |
Breath | 27 次/分 |
Systolic Pressure | 153 mmHg |
Diastolic Pressure | 64 mmHg |
Mean Arterial Pressure | 88 mmHg |
Pcv-aCO2 | 18 mmHg |
DO2 | 384.4 |
VO2 | 201.3 |
Ca-vO2 | 53.1 |
PH value | 7.14 |
PaO2 | 44 mmHg |
PaCO2 | 63 mmHg |
BE | -8.3 mmol/L |
SaO2 | 63 % |
Blood Lactic Acid Concentration | 4.7 mmol/L |
Oxygenation index (PaO2/FiO2) | 44 mmHg |
PH value | 7.09 |
PcvO2 | 28 mmHg |
PcvCO2 | 81 mmHg |
BE | -7.4 mmol/L |
ScvO2 | 30 % |
Volume of input | 2531 ml |
Volume of output | 100 ml |
Volume of urine | 50 ml |
Ultrafiltration Volume | 0 ml |
Norepinephrine Dosage | 6 mg |
Dopamine Dosage | 0 mg |
Epinephrine Dosage | 0 mg |
Pituitrin Dosage | 0 U |
Dobutamine Dosage | 0 mg |
Milrinone Dosage | 0 mg |
Levosimendan | no
|
CVP | 12 mmHg |
cardiac output | 3.79 L/min |
cardiac index | 2.09 L/min/m2 |
stroke volume | 28.1 ml |
Stroke Index | 15.5 ml/m2 |
ITBVI | 909 ml/m2 |
GEDVI | 727 ml/m2 |
EVLWI | 22.1 ml/kg |
PVPI | 4.8 |
SVRI | 2902 DSm2/cm5 |
CFI | 3 |
GEF | 9 % |
SVV | 12 % |
PPV | % |
dPmax | 2112 |
LVEF | % |
FS | % |
SV | ml |
CO | L/min |
E peak |
|
A peak |
|
E/A |
|
Ea(ventricular septum) |
|
Ea(lateral wall) |
|
E/Ea(ventricular septum) |
|
E/Ea(lateral wall) |
|
MAPSE | mm |
TAPSE | mm |
RV size | |
LVEDV | ml |
LVEDD | cm |
The number of B line | 条 |
LUS | 分 |
B+ Zone | 区 |
IVC(inspiratory phase) | mm |
IVC(expiratory phase) | mm |
Respiratory variations of inferior vena cavae diameter | % |
mm |
|
mm |
|
mm |
|
mm |
- Vital Signs
- Blood Gas Analysis
- Vasoactive Agent and Fluid
- PiCCO Parameters
- Cardiac Ultrasound
- Lung Ultrasound
- Inferior Vena Cava
Temperature | 36.8 ℃ |
Heart Rate | 114 次/分 |
Breath | 20 次/分 |
Systolic Pressure | 154 mmHg |
Diastolic Pressure | 60 mmHg |
Mean Arterial Pressure | 95 mmHg |
Pcv-aCO2 | 9 mmHg |
DO2 | 891.6 |
VO2 | 411.4 |
Ca-vO2 | 57.9 |
PH value | 7.25 |
PaO2 | 50 mmHg |
PaCO2 | 55 mmHg |
BE | -3.8 mmol/L |
SaO2 | 78 % |
Blood Lactic Acid Concentration | 2.6 mmol/L |
Oxygenation index (PaO2/FiO2) | 50 mmHg |
PH value | 7.18 |
PcvO2 | 31 mmHg |
PcvCO2 | 64 mmHg |
BE | -5.4 mmol/L |
ScvO2 | 42 % |
Volume of input | 5035 ml |
Volume of output | 450 ml |
Volume of urine | 300 ml |
Ultrafiltration Volume | 0 ml |
Norepinephrine Dosage | 60 mg |
Dopamine Dosage | 0 mg |
Epinephrine Dosage | 0 mg |
Pituitrin Dosage | 0 U |
Dobutamine Dosage | 0 mg |
Milrinone Dosage | 0 mg |
Levosimendan | no
|
CVP | 20 mmHg |
cardiac output | 7.1 L/min |
cardiac index | 3.92 L/min/m2 |
stroke volume | 62.3 ml |
Stroke Index | 34.4 ml/m2 |
ITBVI | 1155 ml/m2 |
GEDVI | 924 ml/m2 |
EVLWI | 26.6 ml/kg |
PVPI | 4.4 |
SVRI | 1529 DSm2/cm5 |
CFI | 4 |
GEF | 15 % |
SVV | 10 % |
PPV | % |
dPmax | 2219 |
LVEF | % |
FS | % |
SV | ml |
CO | L/min |
E peak |
|
A peak |
|
E/A |
|
Ea(ventricular septum) |
|
Ea(lateral wall) |
|
E/Ea(ventricular septum) |
|
E/Ea(lateral wall) |
|
MAPSE | mm |
TAPSE | mm |
RV size | |
LVEDV | ml |
LVEDD | cm |
The number of B line | 条 |
LUS | 分 |
B+ Zone | 区 |
IVC(inspiratory phase) | mm |
IVC(expiratory phase) | mm |
Respiratory variations of inferior vena cavae diameter | % |
mm |
|
mm |
|
mm |
|
mm |
- Vital Signs
- Blood Gas Analysis
- Vasoactive Agent and Fluid
- PiCCO Parameters
- Cardiac Ultrasound
- Lung Ultrasound
- Inferior Vena Cava
Temperature | 38.5 ℃ |
Heart Rate | 129 次/分 |
Breath | 26 次/分 |
Systolic Pressure | 98 mmHg |
Diastolic Pressure | 43 mmHg |
Mean Arterial Pressure | 56 mmHg |
Pcv-aCO2 | 17 mmHg |
DO2 | 368.6 |
VO2 | 168.4 |
Ca-vO2 | 53.1 |
PH value | 7.37 |
PaO2 | 47 mmHg |
PaCO2 | 38 mmHg |
BE | -3.0 mmol/L |
SaO2 | 81 % |
Blood Lactic Acid Concentration | 2.7 mmol/L |
Oxygenation index (PaO2/FiO2) | 47 mmHg |
PH value | 7.29 |
PcvO2 | 28 mmHg |
PcvCO2 | 55 mmHg |
BE | -0.8 mmol/L |
ScvO2 | 44 % |
Volume of input | 6575 ml |
Volume of output | 920 ml |
Volume of urine | 350 ml |
Ultrafiltration Volume | 420 ml |
Norepinephrine Dosage | 140 mg |
Dopamine Dosage | 0 mg |
Epinephrine Dosage | 0 mg |
Pituitrin Dosage | 0 U |
Dobutamine Dosage | 0 mg |
Milrinone Dosage | 0 mg |
Levosimendan | no
|
CVP | 11 mmHg |
cardiac output | 3.17 L/min |
cardiac index | 1.75 L/min/m2 |
stroke volume | 24.6 ml |
Stroke Index | 13.6 ml/m2 |
ITBVI | 736 ml/m2 |
GEDVI | 589 ml/m2 |
EVLWI | 29.3 ml/kg |
PVPI | 7.7 |
SVRI | 2146 DSm2/cm5 |
CFI | 3 |
GEF | 10 % |
SVV | 21 % |
PPV | % |
dPmax | 1573 |
LVEF | % |
FS | % |
SV | ml |
CO | L/min |
E peak |
|
A peak |
|
E/A |
|
Ea(ventricular septum) |
|
Ea(lateral wall) |
|
E/Ea(ventricular septum) |
|
E/Ea(lateral wall) |
|
MAPSE | mm |
TAPSE | mm |
RV size | |
LVEDV | ml |
LVEDD | cm |
The number of B line | 条 |
LUS | 分 |
B+ Zone | 区 |
IVC(inspiratory phase) | mm |
IVC(expiratory phase) | mm |
Respiratory variations of inferior vena cavae diameter | % |
mm |
|
mm |
|
mm |
|
mm |
- Vital Signs
- Blood Gas Analysis
- Vasoactive Agent and Fluid
- PiCCO Parameters
- Cardiac Ultrasound
- Lung Ultrasound
- Inferior Vena Cava
Temperature | ℃ |
Heart Rate | 次/分 |
Breath | 次/分 |
Systolic Pressure | mmHg |
Diastolic Pressure | mmHg |
Mean Arterial Pressure | mmHg |
Pcv-aCO2 | mmHg |
DO2 |
|
VO2 |
|
Ca-vO2 |
|
PH value |
|
PaO2 | mmHg |
PaCO2 | mmHg |
BE | mmol/L |
SaO2 | % |
Blood Lactic Acid Concentration | mmol/L |
Oxygenation index (PaO2/FiO2) | mmHg |
PH value |
|
PcvO2 | mmHg |
PcvCO2 | mmHg |
BE | mmol/L |
ScvO2 | % |
Volume of input | ml |
Volume of output | ml |
Volume of urine | ml |
Ultrafiltration Volume | ml |
Norepinephrine Dosage | mg |
Dopamine Dosage | mg |
Epinephrine Dosage | mg |
Pituitrin Dosage | U |
Dobutamine Dosage | mg |
Milrinone Dosage | mg |
Levosimendan |
CVP | mmHg |
cardiac output | L/min |
cardiac index | L/min/m2 |
stroke volume | ml |
Stroke Index | ml/m2 |
ITBVI | ml/m2 |
GEDVI | ml/m2 |
EVLWI | ml/kg |
PVPI |
|
SVRI | DSm2/cm5 |
CFI |
|
GEF | % |
SVV | % |
PPV | % |
dPmax |
|
LVEF | % |
FS | % |
SV | ml |
CO | L/min |
E peak |
|
A peak |
|
E/A |
|
Ea(ventricular septum) |
|
Ea(lateral wall) |
|
E/Ea(ventricular septum) |
|
E/Ea(lateral wall) |
|
MAPSE | mm |
TAPSE | mm |
RV size | |
LVEDV | ml |
LVEDD | cm |
The number of B line | 条 |
LUS | 分 |
B+ Zone | 区 |
IVC(inspiratory phase) | mm |
IVC(expiratory phase) | mm |
Respiratory variations of inferior vena cavae diameter | % |
mm |
|
mm |
|
mm |
|
mm |
- Vital Signs
- Blood Gas Analysis
- Vasoactive Agent and Fluid
- PiCCO Parameters
- Cardiac Ultrasound
- Lung Ultrasound
- Inferior Vena Cava
Temperature | ℃ |
Heart Rate | 次/分 |
Breath | 次/分 |
Systolic Pressure | mmHg |
Diastolic Pressure | mmHg |
Mean Arterial Pressure | mmHg |
Pcv-aCO2 | mmHg |
DO2 |
|
VO2 |
|
Ca-vO2 |
|
PH value |
|
PaO2 | mmHg |
PaCO2 | mmHg |
BE | mmol/L |
SaO2 | % |
Blood Lactic Acid Concentration | mmol/L |
Oxygenation index (PaO2/FiO2) | mmHg |
PH value |
|
PcvO2 | mmHg |
PcvCO2 | mmHg |
BE | mmol/L |
ScvO2 | % |
Volume of input | ml |
Volume of output | ml |
Volume of urine | ml |
Ultrafiltration Volume | ml |
Norepinephrine Dosage | mg |
Dopamine Dosage | mg |
Epinephrine Dosage | mg |
Pituitrin Dosage | U |
Dobutamine Dosage | mg |
Milrinone Dosage | mg |
Levosimendan |
CVP | mmHg |
cardiac output | L/min |
cardiac index | L/min/m2 |
stroke volume | ml |
Stroke Index | ml/m2 |
ITBVI | ml/m2 |
GEDVI | ml/m2 |
EVLWI | ml/kg |
PVPI |
|
SVRI | DSm2/cm5 |
CFI |
|
GEF | % |
SVV | % |
PPV | % |
dPmax |
|
LVEF | % |
FS | % |
SV | ml |
CO | L/min |
E peak |
|
A peak |
|
E/A |
|
Ea(ventricular septum) |
|
Ea(lateral wall) |
|
E/Ea(ventricular septum) |
|
E/Ea(lateral wall) |
|
MAPSE | mm |
TAPSE | mm |
RV size | |
LVEDV | ml |
LVEDD | cm |
The number of B line | 条 |
LUS | 分 |
B+ Zone | 区 |
IVC(expiratory phase) | mm |
Respiratory variations of inferior vena cavae diameter | % |
IVC(inspiratory phase) | mm |
mm |
|
mm |
|
mm |
|
mm |
- Cardiac Function Indices
- Renel Function Indices
- Blood Routine Tests
- Sequential Organ Failure Assessment
NT-proBNP | pg/ml |
BNP | 1040 pg/ml |
cTNI | 0.257 ng/ml |
Creatine kinase isoenzyme, CKMB | 34.96 U/L |
Creatinine | 99 umol/L |
Urea nitrogen | 5 mmol/l |
MDRD | 59.3 ml/min/1.73m2 |
Date of examination | 2017/4/14 yyyy-mm-dd |
WBC | 2.4 X10*9/L |
neutrophilic granulocyte percentage | 91 % |
Hb | 120 g/L |
CRP | 169 mg/L |
Procalcitonin, PCT | 25.5 ng/ml |
Date of test | 2017/4/14 |
Sequential Organ Failure Assessment | 15 分 |
- Cardiac Function Indices
- Renel Function Indices
- Blood Routine Tests
- Sequential Organ Failure Assessment
NT-proBNP | pg/ml |
BNP | 2170 pg/ml |
cTNI | 0.907 ng/ml |
Creatine kinase isoenzyme, CKMB | 29.9 U/L |
Creatinine | 119.84 umol/L |
Urea nitrogen | 5.99 mmol/l |
MDRD | 50.4 ml/min/1.73m2 |
WBC | 3.9 X10*9/L |
neutrophilic granulocyte percentage | 94.5 % |
Hb | 107 g/L |
CRP | 144.22 mg/L |
Procalcitonin, PCT | ng/ml |
Sequential Organ Failure Assessment | 17 分 |
- Cardiac Function Indices
- Renel Function Indices
- Blood Routine Tests
- Sequential Organ Failure Assessment
NT-proBNP | pg/ml |
BNP | pg/ml |
cTNI | ng/ml |
Creatine kinase isoenzyme, CKMB | U/L |
Creatinine | umol/L |
Urea nitrogen | mmol/L |
MDRD | ml/min/1.73m2 |
WBC | X10*9/L |
neutrophilic granulocyte percentage | % |
Hb | g/L |
CRP | mg/L |
Procalcitonin, PCT | ng/ml |
Sequential Organ Failure Assessment | 分 |
Transfusion of Red Cells | yes
|
Transfusion of Red Cells | 2 U |
Plasma infusion | yes
|
Plasma infusion | 200 ml |
platelet transfusion | no
|
platelet transfusion | 0 U |
APACHEⅡ | 20 分 |
Complication | no
|
prognosis | die
|
28-day mortality | yes
|
survival time(day) | 4 天 |
death time | 2017/4/16 yyyy/mm/dd |
diagnosis of death | 多脏衰 |
length of stay | 4 天 |
duration in ICU | 4 天 |
duration of mechanical ventilation | 70 小时 |
ICU expenses | 26789 元 |
Continuous Renal Replacement Therapy | yes
|
Continuous Renal Replacement Therapy | 10 小时 |