name

叶卫兵

sex

age

59 岁

hospital number

433630

height

174 cm

weight

75 kg

BSA

1.9 m2

APACHEⅡ

20 分

Infection source

date

2017/8/24 年/月/日

Sequential Organ Failure Assessment

15 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

斯沃+美罗培南

vasoactive agent

120 min

min

720 min

Temperature

38.5 ℃

Heart Rate

128 次/分

Breath

18 次/分

Systolic pressure (SP)

180 mmHg

Diastolic pressure

98 mmHg

mean arterial pressure

127 mmHg

Pcv-aCO2

15.7 mmHg

DO2

1044.0

VO2

169.1

Ca-vO2

21.8

pH value

7.29

PaO2

76.2 mmHg

PaCO2

28.2 mmHg

BE

-11.8 mmol/L(±2.3mmol/L)

SaO2

96.5 %

Blood lactic acid concentration, LAC

8 mmol/L

Oxygenation index (PaO2/FiO2)

127 mmHg

pH value

7.24

PcvO2

48.1 mmHg

PcvCO2

43.9 mmHg

BE

-8.1 mmol/L

ScvO2

80.9 %

Volume of input

0 ml

Volume of output

0 ml

Volume of urine

0 ml

ultrafiltration volume

0 ml

norepinephrine

Norepinephrine Dosage

0.07 μg/Kg/min

dopamine

Dopamine Dosage

μg/Kg/min

Dobutamine

Dobutamine Dosage

μg/Kg/min

CVP

14 mmHg

cardiac output

7.75 L/min

cardiac index

4.08 L/min/m2

stroke volume

60.5 ml

Stroke Index

3.19 ml/m2

ITBVI

1035 ml/m2

GEDVI

808 ml/m2

EVLWI

8.2 ml/kg

PVPI

1.4

SVRI

2215 DSm2/cm5

CFI

5.1

GEF

16 %

SVV

9 %

PPV

%

dPmax

1888

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

8 条

LUS

分

B+ Zone

区

IVC(inspiratory phase)

1.8 mm

IVC(expiratory phase)

2.1 mm

respiratory variations of inferior vena cavae diameter

15 %

1.7 mm

mm

2.0 mm

mm

Temperature

38 ℃

Heart Rate

90 次/分

Breath

18 次/分

Systolic Pressure

145 mmHg

Diastolic Pressure

84 mmHg

Mean Arterial Pressure

107 mmHg

Pcv-aCO2

5.8 mmHg

DO2

701.8

VO2

135.9

Ca-vO2

22.7

PH value

7.39

PaO2

140.2 mmHg

PaCO2

30.6 mmHg

BE

-4.7 mmol/L

SaO2

99 %

Blood Lactic Acid Concentration

2.4 mmol/L

Oxygenation index (PaO2/FiO2)

233.7 mmHg

PH value

7.37

PcvO2

47.3 mmHg

PcvCO2

36.4 mmHg

BE

-4.2 mmol/L

ScvO2

80.2 %

Volume of input

1.34 ml

Volume of output

310 ml

Volume of urine

310 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

8 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

CVP

15 mmHg

cardiac output

5.99 L/min

cardiac index

3.15 L/min/m2

stroke volume

66.6 ml

Stroke Index

35 ml/m2

ITBVI

930 ml/m2

GEDVI

744 ml/m2

EVLWI

6.3 ml/kg

PVPI

1.3

SVRI

2333 DSm2/cm5

CFI

4.3

GEF

20 %

SVV

8 %

PPV

/ %

dPmax

13.2

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

4 条

LUS

分

B+ Zone

区

IVC(inspiratory phase)

1.8 mm

IVC(expiratory phase)

2.2 mm

Respiratory variations of inferior vena cavae diameter

20 %

1.7 mm

mm

2.1 mm

mm

Temperature

37.6 ℃

Heart Rate

79 次/分

Breath

18 次/分

Systolic Pressure

116 mmHg

Diastolic Pressure

72 mmHg

Mean Arterial Pressure

89 mmHg

Pcv-aCO2

10.6 mmHg

DO2

451.8

VO2

9.17

Ca-vO2

2.09

PH value

7.45

PaO2

69.1 mmHg

PaCO2

34.3 mmHg

BE

-0.6 mmol/L

SaO2

87.5 %

Blood Lactic Acid Concentration

2 mmol/L

Oxygenation index (PaO2/FiO2)

125.6 mmHg

PH value

7.45

PcvO2

37.7 mmHg

PcvCO2

44.9 mmHg

BE

6.1 mmol/L

ScvO2

85.8 %

Volume of input

2100 ml

Volume of output

600 ml

Volume of urine

600 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

18 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

CVP

15 mmHg

cardiac output

4.73 L/min

cardiac index

2.49 L/min/m2

stroke volume

59.9 ml

Stroke Index

2.49 ml/m2

ITBVI

843 ml/m2

GEDVI

674 ml/m2

EVLWI

5.7 ml/kg

PVPI

1.3

SVRI

2377 DSm2/cm5

CFI

3.8

GEF

20 %

SVV

7 %

PPV

/ %

dPmax

687

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

4 条

LUS

分

B+ Zone

区

IVC(inspiratory phase)

1.6 mm

IVC(expiratory phase)

2.0 mm

Respiratory variations of inferior vena cavae diameter

22 %

1.5 mm

mm

2.0 mm

mm

Temperature

38.3 ℃

Heart Rate

76 次/分

Breath

18 次/分

Systolic Pressure

152 mmHg

Diastolic Pressure

92 mmHg

Mean Arterial Pressure

115 mmHg

Pcv-aCO2

9.4 mmHg

DO2

447.0

VO2

52.8

Ca-vO2

12.0

PH value

7.44

PaO2

76.9 mmHg

PaCO2

35.5 mmHg

BE

-0.3 mmol/L

SaO2

97.2 %

Blood Lactic Acid Concentration

2 mmol/L

Oxygenation index (PaO2/FiO2)

170.8 mmHg

PH value

7.44

PcvO2

37.7 mmHg

PcvCO2

44.9 mmHg

BE

6.1 mmol/L

ScvO2

85.8 %

Volume of input

4136 ml

Volume of output

1250 ml

Volume of urine

1250 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

32 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

CVP

15 mmHg

cardiac output

4.39 L/min

cardiac index

2.31 L/min/m2

stroke volume

57.8 ml

Stroke Index

2.31 ml/m2

ITBVI

846 ml/m2

GEDVI

677 ml/m2

EVLWI

6.0 ml/kg

PVPI

1.3

SVRI

3461 DSm2/cm5

CFI

3.5

GEF

19 %

SVV

3 %

PPV

/ %

dPmax

793

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

4 条

LUS

分

B+ Zone

区

IVC(inspiratory phase)

1.8 mm

IVC(expiratory phase)

2.0 mm

Respiratory variations of inferior vena cavae diameter

10 %

1.8 mm

mm

2.0 mm

mm

Temperature

19 ℃

Heart Rate

79 次/分

Breath

18 次/分

Systolic Pressure

162 mmHg

Diastolic Pressure

93 mmHg

Mean Arterial Pressure

118 mmHg

Pcv-aCO2

8.1 mmHg

DO2

714.6

VO2

134.8

Ca-vO2

19.9

PH value

7.42

PaO2

86.7 mmHg

PaCO2

37.2 mmHg

BE

-0.2 mmol/L

SaO2

97.3 %

Blood Lactic Acid Concentration

3.4 mmol/L

Oxygenation index (PaO2/FiO2)

192.7 mmHg

PH value

7.41

PcvO2

50.3 mmHg

PcvCO2

45.3 mmHg

BE

2.0 mmol/L

ScvO2

79 %

Volume of input

7840 ml

Volume of output

315 ml

Volume of urine

315 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

48 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

CVP

14 mmHg

cardiac output

6.95 L/min

cardiac index

3.66 L/min/m2

stroke volume

88 ml

Stroke Index

46.3 ml/m2

ITBVI

990 ml/m2

GEDVI

792 ml/m2

EVLWI

5.2 ml/kg

PVPI

1.0

SVRI

2273 DSm2/cm5

CFI

48

GEF

25 %

SVV

6 %

PPV

/ %

dPmax

599

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

4 条

LUS

分

B+ Zone

区

IVC(inspiratory phase)

1.7 mm

IVC(expiratory phase)

2.3 mm

Respiratory variations of inferior vena cavae diameter

30 %

1.8 mm

mm

2.4 mm

mm

Temperature

37.8 ℃

Heart Rate

77 次/分

Breath

18 次/分

Systolic Pressure

144 mmHg

Diastolic Pressure

85 mmHg

Mean Arterial Pressure

105 mmHg

Pcv-aCO2

9.5 mmHg

DO2

628.3

VO2

204.6

Ca-vO2

32.1

PH value

7.43

PaO2

97 mmHg

PaCO2

38.4 mmHg

BE

1 mmol/L

SaO2

97.1 %

Blood Lactic Acid Concentration

3.4 mmol/L

Oxygenation index (PaO2/FiO2)

215.6 mmHg

PH value

7.38

PcvO2

28.8 mmHg

PcvCO2

47.5 mmHg

BE

3 mmol/L

ScvO2

66 %

Volume of input

11312 ml

Volume of output

5850 ml

Volume of urine

5850 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

82 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

CVP

10 mmHg

cardiac output

6.38 L/min

cardiac index

3.36 L/min/m2

stroke volume

82.9 ml

Stroke Index

43.6 ml/m2

ITBVI

95.7 ml/m2

GEDVI

766 ml/m2

EVLWI

5.5 ml/kg

PVPI

1.1

SVRI

2286 DSm2/cm5

CFI

4.5

GEF

25 %

SVV

5 %

PPV

/ %

dPmax

510

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

4 条

LUS

分

B+ Zone

区

IVC(expiratory phase)

1.8 mm

Respiratory variations of inferior vena cavae diameter

2.0 %

IVC(inspiratory phase)

22 mm

1.7 mm

mm

2.0 mm

mm

NT-proBNP

pg/ml

BNP

1663 pg/ml

cTNI

ng/ml

Creatine kinase isoenzyme, CKMB

U/L

Creatinine

173 umol/L

Urea nitrogen

8.7 mmol/l

MDRD

ml/min/1.73m2

Date of examination

yyyy-mm-dd

WBC

15.2 X10*9/L

neutrophilic granulocyte percentage

95.9 %

Hb

104 g/L

CRP

341.22 mg/L

Procalcitonin, PCT

大于100 ng/ml

Date of test

2017/8/24

Sequential Organ Failure Assessment

15 分

NT-proBNP

pg/ml

BNP

791 pg/ml

cTNI

ng/ml

Creatine kinase isoenzyme, CKMB

U/L

Creatinine

100 umol/L

Urea nitrogen

5.7 mmol/l

MDRD

ml/min/1.73m2

WBC

10.2 X10*9/L

neutrophilic granulocyte percentage

95.3 %

Hb

88 g/L

CRP

338.42 mg/L

Procalcitonin, PCT

67.85 ng/ml

Sequential Organ Failure Assessment

13 分

NT-proBNP

pg/ml

BNP

1892 pg/ml

cTNI

ng/ml

Creatine kinase isoenzyme, CKMB

U/L

Creatinine

100 umol/L

Urea nitrogen

6.4 mmol/L

MDRD

ml/min/1.73m2

WBC

12.7 X10*9/L

neutrophilic granulocyte percentage

96.5 %

Hb

81 g/L

CRP

305.37 mg/L

Procalcitonin, PCT

61.41 ng/ml

Sequential Organ Failure Assessment

12 分

Transfusion of Red Cells

Transfusion of Red Cells

U

Plasma infusion

Plasma infusion

ml

platelet transfusion

platelet transfusion

U

APACHEⅡ

18 分

Complication

prognosis

28-day mortality

survival time(day)

天

death time

yyyy/mm/dd

diagnosis of death

length of stay

18 天

duration in ICU

12 天

duration of mechanical ventilation

288 小时

ICU expenses

133738 元

Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy

小时