name

sex

age

岁

hospital number

height

cm

weight

kg

BSA

m2

APACHEⅡ

分

Infection source

date

年/月/日

Sequential Organ Failure Assessment

分

Fluid resuscitation

age>=60

septic shock

mechanical ventilation

Early fluid resuscitation

age<60

Pregnant woman

advanced malignant tumor

Pulmonary interstitial fibrosis

Serious arrhythmia

Small Tidal Volume Ventilation

Liver failure

Refuse to participate

Heart disease

vasoactive agent

min

min

min

Temperature

℃

Heart Rate

次/分

Breath

次/分

Systolic pressure (SP)

mmHg

Diastolic pressure

mmHg

mean arterial pressure

mmHg

Pcv-aCO2

mmHg

DO2

VO2

Ca-vO2

pH value

PaO2

mmHg

PaCO2

mmHg

BE

mmol/L(±2.3mmol/L)

SaO2

%

Blood lactic acid concentration, LAC

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

Norepinephrine Dosage

μg/Kg/min

dopamine

Dopamine Dosage

μg/Kg/min

Dobutamine

Dobutamine Dosage

μg/Kg/min

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

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

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

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

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

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

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

Date of examination

yyyy-mm-dd

WBC

X10*9/L

neutrophilic granulocyte percentage

%

Hb

g/L

CRP

mg/L

Procalcitonin, PCT

ng/ml

Date of test

Sequential Organ Failure Assessment

分

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

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

Transfusion of Red Cells

U

Plasma infusion

Plasma infusion

ml

platelet transfusion

platelet transfusion

U

APACHEⅡ

分

Complication

prognosis

28-day mortality

survival time(day)

天

death time

yyyy/mm/dd

diagnosis of death

length of stay

天

duration in ICU

天

duration of mechanical ventilation

小时

ICU expenses

元

Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy

小时