name

周宏富

sex

age

80 岁

hospital number

517854

height

176 cm

weight

60 kg

BSA

1.74 m2

APACHEⅡ

22 分

Infection source

date

2017/07/05 年/月/日

Sequential Organ Failure Assessment

20 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

泰能+斯沃

vasoactive agent

30 min

min

30 min

Temperature

36.9 ℃

Heart Rate

123 次/分

Breath

26 次/分

Systolic pressure (SP)

136 mmHg

Diastolic pressure

61 mmHg

mean arterial pressure

86 mmHg

Pcv-aCO2

12.3 mmHg

DO2

759.8

VO2

256.5

Ca-vO2

53.3

pH value

7.31

PaO2

128.6 mmHg

PaCO2

30.7 mmHg

BE

-9.6 mmol/L(±2.3mmol/L)

SaO2

98 %

Blood lactic acid concentration, LAC

4.5 mmol/L

Oxygenation index (PaO2/FiO2)

285.8 mmHg

pH value

7.30

PcvO2

42 mmHg

PcvCO2

43 mmHg

BE

-10.6 mmol/L

ScvO2

65 %

Volume of input

0 ml

Volume of output

0 ml

Volume of urine

0 ml

ultrafiltration volume

0 ml

norepinephrine

Norepinephrine Dosage

0.75 μg/Kg/min

dopamine

Dopamine Dosage

μg/Kg/min

Dobutamine

Dobutamine Dosage

μg/Kg/min

CVP

3 mmHg

cardiac output

4.81 L/min

cardiac index

2.76 L/min/m2

stroke volume

39.1 ml

Stroke Index

22.5 ml/m2

ITBVI

999 ml/m2

GEDVI

794 ml/m2

EVLWI

6.7 ml/kg

PVPI

1.2

SVRI

1880 DSm2/cm5

CFI

3.2

GEF

11 %

SVV

28 %

PPV

%

dPmax

905

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)

1.2 mm

IVC(expiratory phase)

1.6 mm

respiratory variations of inferior vena cavae diameter

28 %

1.2 mm

mm

1.65 mm

mm

IVC(inspiratory phase)

1.4 mm

IVC(expiratory phase)

1.6 mm

Respiratory variations of inferior vena cavae diameter

13 %

1.6 mm

mm

1.8 mm

mm

Temperature

37.5 ℃

Heart Rate

130 次/分

Breath

20 次/分

Systolic Pressure

100 mmHg

Diastolic Pressure

55 mmHg

Mean Arterial Pressure

66 mmHg

Pcv-aCO2

11.7 mmHg

DO2

843.2

VO2

269.9

Ca-vO2

47.9

PH value

7.27

PaO2

97 mmHg

PaCO2

28.3 mmHg

BE

-12.6 mmol/L

SaO2

97 %

Blood Lactic Acid Concentration

7.9 mmol/L

Oxygenation index (PaO2/FiO2)

215.6 mmHg

PH value

7.25

PcvO2

39 mmHg

PcvCO2

40 mmHg

BE

-13 mmol/L

ScvO2

66 %

Volume of input

2450 ml

Volume of output

800 ml

Volume of urine

0 ml

Ultrafiltration Volume

ml

Norepinephrine Dosage

16.2 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

CVP

7 mmHg

cardiac output

5.63 L/min

cardiac index

3.24 L/min/m2

stroke volume

43.3 ml

Stroke Index

24.9 ml/m2

ITBVI

1078 ml/m2

GEDVI

862 ml/m2

EVLWI

7.6 ml/kg

PVPI

1.3

SVRI

1878 DSm2/cm5

CFI

3.5

GEF

10 %

SVV

%

PPV

%

dPmax

1483

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

Temperature

38 ℃

Heart Rate

132 次/分

Breath

20 次/分

Systolic Pressure

130 mmHg

Diastolic Pressure

71 mmHg

Mean Arterial Pressure

92 mmHg

Pcv-aCO2

9.8 mmHg

DO2

1253.8

VO2

372.7

Ca-vO2

45.7

PH value

7.53

PaO2

107.3 mmHg

PaCO2

32.1 mmHg

BE

-8 mmol/L

SaO2

97.8 %

Blood Lactic Acid Concentration

2.7 mmol/L

Oxygenation index (PaO2/FiO2)

238.4 mmHg

PH value

7.27

PcvO2

36.6 mmHg

PcvCO2

41.9 mmHg

BE

-7.7 mmol/L

ScvO2

68.8 %

Volume of input

4900 ml

Volume of output

1535 ml

Volume of urine

200 ml

Ultrafiltration Volume

ml

Norepinephrine Dosage

32.4 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

CVP

1 mmHg

cardiac output

8.16 L/min

cardiac index

4.69 L/min/m2

stroke volume

61.8 ml

Stroke Index

4.69 ml/m2

ITBVI

975 ml/m2

GEDVI

780 ml/m2

EVLWI

7.0 ml/kg

PVPI

1.3

SVRI

1500 DSm2/cm5

CFI

5.6

GEF

16 %

SVV

10 %

PPV

%

dPmax

1435

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

12 条

LUS

分

B+ Zone

区

IVC(inspiratory phase)

1.4 mm

IVC(expiratory phase)

1.8 mm

Respiratory variations of inferior vena cavae diameter

15 %

1.4 mm

mm

1.8 mm

mm

Temperature

38.5 ℃

Heart Rate

138 次/分

Breath

16 次/分

Systolic Pressure

141 mmHg

Diastolic Pressure

81 mmHg

Mean Arterial Pressure

111 mmHg

Pcv-aCO2

9.1 mmHg

DO2

1147.9

VO2

274.7

Ca-vO2

33.4

PH value

7.31

PaO2

96 mmHg

PaCO2

23.5 mmHg

BE

-12.9 mmol/L

SaO2

97.2 %

Blood Lactic Acid Concentration

4.4 mmol/L

Oxygenation index (PaO2/FiO2)

213.3 mmHg

PH value

7.27

PcvO2

40.8 mmHg

PcvCO2

32.6 mmHg

BE

-11.3 mmol/L

ScvO2

74.0 %

Volume of input

6500 ml

Volume of output

2050 ml

Volume of urine

400 ml

Ultrafiltration Volume

ml

Norepinephrine Dosage

65 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

CVP

6 mmHg

cardiac output

8.22 L/min

cardiac index

4.72 L/min/m2

stroke volume

59.6 ml

Stroke Index

34.2 ml/m2

ITBVI

1103 ml/m2

GEDVI

882 ml/m2

EVLWI

8.0 ml/kg

PVPI

1.4

SVRI

1794 DSm2/cm5

CFI

5.0

GEF

14 %

SVV

14 %

PPV

%

dPmax

1359

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

12 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

1.9 mm

mm

Temperature

38.3 ℃

Heart Rate

150 次/分

Breath

18 次/分

Systolic Pressure

101 mmHg

Diastolic Pressure

71 mmHg

Mean Arterial Pressure

84 mmHg

Pcv-aCO2

4.8 mmHg

DO2

696.5

VO2

199.6

Ca-vO2

33.2

PH value

7.41

PaO2

112.2 mmHg

PaCO2

33.7 mmHg

BE

-3.0 mmol/L

SaO2

98 %

Blood Lactic Acid Concentration

0.9 mmol/L

Oxygenation index (PaO2/FiO2)

249.3 mmHg

PH value

7.38

PcvO2

50 mmHg

PcvCO2

38.5 mmHg

BE

-3.2 mmol/L

ScvO2

70 %

Volume of input

8914 ml

Volume of output

5431 ml

Volume of urine

2300 ml

Ultrafiltration Volume

ml

Norepinephrine Dosage

97.5 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

180 mg

Milrinone Dosage

mg

Levosimendan

CVP

15 mmHg

cardiac output

6.01 L/min

cardiac index

3.45 L/min/m2

stroke volume

40.1 ml

Stroke Index

34.2 ml/m2

ITBVI

1265 ml/m2

GEDVI

10112 ml/m2

EVLWI

7.5 ml/kg

PVPI

1.1

SVRI

1759 DSm2/cm5

CFI

3.2

GEF

9 %

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

16 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 %

1.7 mm

mm

2.0 mm

mm

Temperature

38 ℃

Heart Rate

86 次/分

Breath

16 次/分

Systolic Pressure

133 mmHg

Diastolic Pressure

71 mmHg

Mean Arterial Pressure

101 mmHg

Pcv-aCO2

5.3 mmHg

DO2

644.5

VO2

150.8

Ca-vO2

27.7

PH value

7.45

PaO2

103.1 mmHg

PaCO2

34.7 mmHg

BE

-1.1 mmol/L

SaO2

97.8 %

Blood Lactic Acid Concentration

2.2 mmol/L

Oxygenation index (PaO2/FiO2)

229.1 mmHg

PH value

7.41

PcvO2

44 mmHg

PcvCO2

40 mmHg

BE

-1.2 mmol/L

ScvO2

75 %

Volume of input

13300 ml

Volume of output

7476 ml

Volume of urine

4800 ml

Ultrafiltration Volume

ml

Norepinephrine Dosage

97.5 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

360 mg

Milrinone Dosage

mg

Levosimendan

CVP

12 mmHg

cardiac output

5.45 L/min

cardiac index

3.13 L/min/m2

stroke volume

63.4 ml

Stroke Index

36.4 ml/m2

ITBVI

13.8 ml/m2

GEDVI

1055 ml/m2

EVLWI

8.6 ml/kg

PVPI

1.2

SVRI

2553 DSm2/cm5

CFI

2.7

GEF

12 %

SVV

5 %

PPV

%

dPmax

1255

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(expiratory phase)

1.8 mm

Respiratory variations of inferior vena cavae diameter

2.0 %

IVC(inspiratory phase)

10 mm

1.8 mm

mm

2.0 mm

mm

NT-proBNP

pg/ml

BNP

243 pg/ml

cTNI

ng/ml

Creatine kinase isoenzyme, CKMB

U/L

Creatinine

103 umol/L

Urea nitrogen

10.9 mmol/l

MDRD

ml/min/1.73m2

Date of examination

yyyy-mm-dd

WBC

2.1 X10*9/L

neutrophilic granulocyte percentage

70.8 %

Hb

120 g/L

CRP

86.78 mg/L

Procalcitonin, PCT

＞100 ng/ml

Date of test

Sequential Organ Failure Assessment

20 分

NT-proBNP

pg/ml

BNP

153 pg/ml

cTNI

ng/ml

Creatine kinase isoenzyme, CKMB

U/L

Creatinine

115 umol/L

Urea nitrogen

13.9 mmol/l

MDRD

ml/min/1.73m2

WBC

15.9 X10*9/L

neutrophilic granulocyte percentage

96.5 %

Hb

107 g/L

CRP

300.5 mg/L

Procalcitonin, PCT

＞100 ng/ml

Sequential Organ Failure Assessment

17 分

NT-proBNP

pg/ml

BNP

565 pg/ml

cTNI

ng/ml

Creatine kinase isoenzyme, CKMB

U/L

Creatinine

121 umol/L

Urea nitrogen

13.4 mmol/L

MDRD

ml/min/1.73m2

WBC

16.6 X10*9/L

neutrophilic granulocyte percentage

96.6 %

Hb

88 g/L

CRP

285.5 mg/L

Procalcitonin, PCT

＞100 ng/ml

Sequential Organ Failure Assessment

15 分

Transfusion of Red Cells

Transfusion of Red Cells

U

Plasma infusion

Plasma infusion

1500 ml

platelet transfusion

platelet transfusion

U

APACHEⅡ

14 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

16 天

duration of mechanical ventilation

312 小时

ICU expenses

191878 元

Continuous Renal Replacement Therapy

Continuous Renal Replacement Therapy

小时