name

张有

sex

age

48 岁

hospital number

537905

height

170 cm

weight

70 kg

BSA

1.81 m2

APACHEⅡ

34 分

Infection source

date

2017/12/21 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

比阿培南+万古霉素

vasoactive agent

120 min

min

1620 min

Temperature

36.8 ℃

Heart Rate

87 次/分

Breath

16 次/分

Systolic pressure (SP)

152 mmHg

Diastolic pressure

81 mmHg

mean arterial pressure

96 mmHg

Pcv-aCO2

8 mmHg

DO2

790.4

VO2

242.5

Ca-vO2

52.5

pH value

7.2

PaO2

122 mmHg

PaCO2

35 mmHg

BE

-13.2 mmol/L(±2.3mmol/L)

SaO2

98 %

Blood lactic acid concentration, LAC

3.8 mmol/L

Oxygenation index (PaO2/FiO2)

203.3 mmHg

pH value

7.16

PcvO2

448 mmHg

PcvCO2

43 mmHg

BE

-12.7 mmol/L

ScvO2

68 %

Volume of input

0 ml

Volume of output

0 ml

Volume of urine

0 ml

ultrafiltration volume

0 ml

norepinephrine

Norepinephrine Dosage

10 μg/Kg/min

dopamine

Dopamine Dosage

20 μg/Kg/min

Dobutamine

Dobutamine Dosage

μg/Kg/min

CVP

20 mmHg

cardiac output

4.62 L/min

cardiac index

2.55 L/min/m2

stroke volume

53.1 ml

Stroke Index

29.1 ml/m2

ITBVI

794 ml/m2

GEDVI

635 ml/m2

EVLWI

8.4 ml/kg

PVPI

1.9

SVRI

2387 DSm2/cm5

CFI

4.1

GEF

19 %

SVV

%

PPV

%

dPmax

17.4

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

56 条

LUS

分

B+ Zone

区

IVC(inspiratory phase)

2.4 mm

IVC(expiratory phase)

2.45 mm

respiratory variations of inferior vena cavae diameter

2 %

2.4 mm

mm

2.5 mm

mm

Temperature

36.8 ℃

Heart Rate

80 次/分

Breath

16 次/分

Systolic Pressure

153 mmHg

Diastolic Pressure

79 mmHg

Mean Arterial Pressure

95 mmHg

Pcv-aCO2

6 mmHg

DO2

738.4

VO2

196.4

Ca-vO2

40.2

PH value

7.37

PaO2

96 mmHg

PaCO2

35 mmHg

BE

-4.6 mmol/L

SaO2

98 %

Blood Lactic Acid Concentration

6.6 mmol/L

Oxygenation index (PaO2/FiO2)

160 mmHg

PH value

7.32

PcvO2

39 mmHg

PcvCO2

41 mmHg

BE

-4.4 mmol/L

ScvO2

72 %

Volume of input

1130 ml

Volume of output

1500 ml

Volume of urine

60 ml

Ultrafiltration Volume

1200 ml

Norepinephrine Dosage

32 mg

Dopamine Dosage

360 mg

Epinephrine Dosage

5 mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

CVP

15 mmHg

cardiac output

4.88 L/min

cardiac index

2.7 L/min/m2

stroke volume

61 ml

Stroke Index

2.7 ml/m2

ITBVI

807 ml/m2

GEDVI

646 ml/m2

EVLWI

6.5 ml/kg

PVPI

1.5

SVRI

2373 DSm2/cm5

CFI

4.3

GEF

22 %

SVV

11 %

PPV

%

dPmax

1958

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

28 条

LUS

分

B+ Zone

区

IVC(inspiratory phase)

2.2 mm

IVC(expiratory phase)

2.4 mm

Respiratory variations of inferior vena cavae diameter

8.6 %

2.0 mm

mm

2.2 mm

mm

Temperature

36.6 ℃

Heart Rate

93 次/分

Breath

16 次/分

Systolic Pressure

117 mmHg

Diastolic Pressure

54 mmHg

Mean Arterial Pressure

69 mmHg

Pcv-aCO2

7 mmHg

DO2

959.5

VO2

216.1

Ca-vO2

32.3

PH value

7.43

PaO2

96 mmHg

PaCO2

36 mmHg

BE

-0.4 mmol/L

SaO2

98 %

Blood Lactic Acid Concentration

5.8 mmol/L

Oxygenation index (PaO2/FiO2)

160 mmHg

PH value

7.38

PcvO2

40 mmHg

PcvCO2

43 mmHg

BE

-0.3 mmol/L

ScvO2

76 %

Volume of input

2260 ml

Volume of output

3020 ml

Volume of urine

120 ml

Ultrafiltration Volume

2400 ml

Norepinephrine Dosage

60 mg

Dopamine Dosage

720 mg

Epinephrine Dosage

10 mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

CVP

18 mmHg

cardiac output

6.69 L/min

cardiac index

3.7 L/min/m2

stroke volume

71.9 ml

Stroke Index

39.7 ml/m2

ITBVI

824 ml/m2

GEDVI

659 ml/m2

EVLWI

7.0 ml/kg

PVPI

1.6

SVRI

1103 DSm2/cm5

CFI

5.7

GEF

25 %

SVV

8 %

PPV

%

dPmax

1814

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

46 条

LUS

分

B+ Zone

区

IVC(inspiratory phase)

2.0 mm

IVC(expiratory phase)

2.4 mm

Respiratory variations of inferior vena cavae diameter

18 %

2.0 mm

mm

2.2 mm

mm

Temperature

36.6 ℃

Heart Rate

99 次/分

Breath

16 次/分

Systolic Pressure

112 mmHg

Diastolic Pressure

65 mmHg

Mean Arterial Pressure

77 mmHg

Pcv-aCO2

10 mmHg

DO2

560.6

VO2

113.9

Ca-vO2

26

PH value

7.46

PaO2

118 mmHg

PaCO2

42 mmHg

BE

5.3 mmol/L

SaO2

99 %

Blood Lactic Acid Concentration

2.9 mmol/L

Oxygenation index (PaO2/FiO2)

236 mmHg

PH value

7.4

PcvO2

43 mmHg

PcvCO2

52 mmHg

BE

6.1 mmol/L

ScvO2

79 %

Volume of input

4520 ml

Volume of output

6130 ml

Volume of urine

230 ml

Ultrafiltration Volume

4800 ml

Norepinephrine Dosage

100 mg

Dopamine Dosage

1200 mg

Epinephrine Dosage

20 mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

CVP

8 mmHg

cardiac output

4.39 L/min

cardiac index

2.43 L/min/m2

stroke volume

44.3 ml

Stroke Index

24.5 ml/m2

ITBVI

495 ml/m2

GEDVI

397 ml/m2

EVLWI

4.5 ml/kg

PVPI

1.7

SVRI

2275 DSm2/cm5

CFI

6.2

GEF

26 %

SVV

11 %

PPV

%

dPmax

1337

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

16 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 %

1.6 mm

mm

2.0 mm

mm

Temperature

36.6 ℃

Heart Rate

94 次/分

Breath

18 次/分

Systolic Pressure

123 mmHg

Diastolic Pressure

69 mmHg

Mean Arterial Pressure

83 mmHg

Pcv-aCO2

6 mmHg

DO2

782.4

VO2

258.4

Ca-vO2

35

PH value

7.46

PaO2

72 mmHg

PaCO2

37 mmHg

BE

2.5 mmol/L

SaO2

94 %

Blood Lactic Acid Concentration

2.5 mmol/L

Oxygenation index (PaO2/FiO2)

144 mmHg

PH value

7.42

PcvO2

34 mmHg

PcvCO2

43 mmHg

BE

2.8 mmol/L

ScvO2

63 %

Volume of input

9292 ml

Volume of output

10070 ml

Volume of urine

370 ml

Ultrafiltration Volume

8400 ml

Norepinephrine Dosage

200 mg

Dopamine Dosage

1800 mg

Epinephrine Dosage

20 mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

CVP

14 mmHg

cardiac output

7.38 L/min

cardiac index

4.08 L/min/m2

stroke volume

78.5 ml

Stroke Index

43.4 ml/m2

ITBVI

811 ml/m2

GEDVI

649 ml/m2

EVLWI

8.2 ml/kg

PVPI

1.8

SVRI

1353 DSm2/cm5

CFI

6.4

GEF

28 %

SVV

21 %

PPV

%

dPmax

1633

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

70 条

LUS

分

B+ Zone

区

IVC(inspiratory phase)

2.0 mm

IVC(expiratory phase)

2.3 mm

Respiratory variations of inferior vena cavae diameter

14 %

2.1 mm

mm

2.3 mm

mm

Temperature

37.2 ℃

Heart Rate

137 次/分

Breath

16 次/分

Systolic Pressure

135 mmHg

Diastolic Pressure

87 mmHg

Mean Arterial Pressure

104 mmHg

Pcv-aCO2

8 mmHg

DO2

796.1

VO2

76

Ca-vO2

10.2

PH value

7.43

PaO2

72 mmHg

PaCO2

42 mmHg

BE

3.1 mmol/L

SaO2

95 %

Blood Lactic Acid Concentration

1.7 mmol/L

Oxygenation index (PaO2/FiO2)

144 mmHg

PH value

7.38

PcvO2

38 mmHg

PcvCO2

50 mmHg

BE

-7.9 mmol/L

ScvO2

86 %

Volume of input

12666 ml

Volume of output

14760 ml

Volume of urine

530 ml

Ultrafiltration Volume

12000 ml

Norepinephrine Dosage

280 mg

Dopamine Dosage

2600 mg

Epinephrine Dosage

20 mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

CVP

8 mmHg

cardiac output

7.43 L/min

cardiac index

4.1 L/min/m2

stroke volume

54.2 ml

Stroke Index

30.0 ml/m2

ITBVI

1135 ml/m2

GEDVI

908 ml/m2

EVLWI

10.7 ml/kg

PVPI

1.7

SVRI

1870 DSm2/cm5

CFI

4.6

GEF

15 %

SVV

%

PPV

%

dPmax

984

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

72 条

LUS

分

B+ Zone

区

IVC(expiratory phase)

2.4 mm

Respiratory variations of inferior vena cavae diameter

2.4 %

IVC(inspiratory phase)

0 mm

2.5 mm

mm

2.5 mm

mm

NT-proBNP

pg/ml

BNP

830 pg/ml

cTNI

ng/ml

Creatine kinase isoenzyme, CKMB

U/L

Creatinine

342 umol/L

Urea nitrogen

15.2 mmol/l

MDRD

ml/min/1.73m2

Date of examination

yyyy-mm-dd

WBC

8.1 X10*9/L

neutrophilic granulocyte percentage

87.8 %

Hb

130 g/L

CRP

122.64 mg/L

Procalcitonin, PCT

大于100 ng/ml

Date of test

Sequential Organ Failure Assessment

15 分

NT-proBNP

pg/ml

BNP

901 pg/ml

cTNI

ng/ml

Creatine kinase isoenzyme, CKMB

U/L

Creatinine

303 umol/L

Urea nitrogen

12 mmol/l

MDRD

ml/min/1.73m2

WBC

14.9 X10*9/L

neutrophilic granulocyte percentage

90.2 %

Hb

96 g/L

CRP

357.53 mg/L

Procalcitonin, PCT

大于100 ng/ml

Sequential Organ Failure Assessment

15 分

NT-proBNP

pg/ml

BNP

431 pg/ml

cTNI

ng/ml

Creatine kinase isoenzyme, CKMB

U/L

Creatinine

291 umol/L

Urea nitrogen

9.4 mmol/L

MDRD

ml/min/1.73m2

WBC

11.7 X10*9/L

neutrophilic granulocyte percentage

88.4 %

Hb

84 g/L

CRP

351.21 mg/L

Procalcitonin, PCT

大于100 ng/ml

Sequential Organ Failure Assessment

15 分

Transfusion of Red Cells

Transfusion of Red Cells

U

Plasma infusion

Plasma infusion

1000 ml

platelet transfusion

platelet transfusion

U

APACHEⅡ

34 分

Complication

prognosis

28-day mortality

survival time(day)

天

death time

yyyy/mm/dd

diagnosis of death

length of stay

5 天

duration in ICU

5 天

duration of mechanical ventilation

120 小时

ICU expenses

56710 元

Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy

400 小时