name | 李永松 |
sex | male
|
age | 84 岁 |
hospital number | 902149 |
height | cm |
weight | kg |
BSA | 1.96 m2 |
APACHEⅡ | 19 分 |
Infection source | lung
|
date | 2017/11/25 年/月/日 |
Sequential Organ Failure Assessment | 18 分 |
Fluid resuscitation | 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
yes
|
|
美罗培南针 1.0g ivgtt q8h |
|
vasoactive agent | norepinephrine
|
120 min |
|
150 min |
|
300 min |
Temperature | 36.3 ℃ |
Heart Rate | 85 次/分 |
Breath | 18 次/分 |
Systolic pressure (SP) | 110 mmHg |
Diastolic pressure | 56 mmHg |
mean arterial pressure | 75 mmHg |
Pcv-aCO2 | 7.3 mmHg |
DO2 | 581.1 |
VO2 | 143.3 |
Ca-vO2 | 45.1 |
pH value | 7.45 |
PaO2 | 63.5 mmHg |
PaCO2 | 30 mmHg |
BE | -2.1 mmol/L(±2.3mmol/L) |
SaO2 | 93.3 % |
Blood lactic acid concentration, LAC | 3.6 mmol/L |
Oxygenation index (PaO2/FiO2) | 79.4 mmHg |
pH value | 7.41 |
PcvO2 | 39.9 mmHg |
PcvCO2 | 37.3 mmHg |
BE | -0.9 mmol/L |
ScvO2 | 70.3 % |
Volume of input | 0 ml |
Volume of output | 0 ml |
Volume of urine | 0 ml |
ultrafiltration volume | 0 ml |
norepinephrine | yes
|
Norepinephrine Dosage | 0.25 μg/Kg/min |
dopamine | |
Dopamine Dosage | μg/Kg/min |
Dobutamine | |
Dobutamine Dosage | μg/Kg/min |
Milrinone
|
CVP | 7 mmHg |
cardiac output | 3.18 L/min |
cardiac index | 1.62 L/min/m2 |
stroke volume | 43 ml |
Stroke Index | 19.1 ml/m2 |
ITBVI | 824 ml/m2 |
GEDVI | 659 ml/m2 |
EVLWI | 19.5 ml/kg |
PVPI | 1.1 |
SVRI | 3351 DSm2/cm5 |
CFI | 3 |
GEF | 12 % |
SVV | 7 % |
PPV | % |
dPmax | 893 |
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 | 16 分 |
B+ Zone | 区 |
IVC(inspiratory phase) | 19 mm |
IVC(expiratory phase) | 18 mm |
respiratory variations of inferior vena cavae diameter | 5 % |
15 mm |
|
13 mm |
|
12 mm |
|
10 mm |
- Inferior Vena Cava
- Vital Signs
- Blood Gas Analysis
- Vasoactive Agent and Fluid
- PiCCO Parameters
- Cardiac Ultrasound
- Lung Ultrasound
IVC(inspiratory phase) | 21 mm |
IVC(expiratory phase) | 18 mm |
Respiratory variations of inferior vena cavae diameter | 14 % |
18 mm |
|
15 mm |
|
16 mm |
|
12 mm |
Temperature | 16.4 ℃ |
Heart Rate | 76 次/分 |
Breath | 19 次/分 |
Systolic Pressure | 130 mmHg |
Diastolic Pressure | 66 mmHg |
Mean Arterial Pressure | 89 mmHg |
Pcv-aCO2 | 7.3 mmHg |
DO2 | 591.4 |
VO2 | 132.1 |
Ca-vO2 | 40.3 |
PH value | 7.44 |
PaO2 | 62.7 mmHg |
PaCO2 | 31.3 mmHg |
BE | -1.3 mmol/L |
SaO2 | 92.7 % |
Blood Lactic Acid Concentration | 3.5 mmol/L |
Oxygenation index (PaO2/FiO2) | 78.4 mmHg |
PH value | 7.41 |
PcvO2 | 40.8 mmHg |
PcvCO2 | 38.6 mmHg |
BE | -0.2 mmol/L |
ScvO2 | 72 % |
Volume of input | 1050 ml |
Volume of output | 200 ml |
Volume of urine | 200 ml |
Ultrafiltration Volume | 0 ml |
Norepinephrine Dosage | 5 mg |
Dopamine Dosage | mg |
Epinephrine Dosage | mg |
Pituitrin Dosage | U |
Dobutamine Dosage | mg |
Milrinone Dosage | 5 mg |
Levosimendan | no
|
CVP | 7 mmHg |
cardiac output | 3.28 L/min |
cardiac index | 1.67 L/min/m2 |
stroke volume | 31 ml |
Stroke Index | 22 ml/m2 |
ITBVI | 948 ml/m2 |
GEDVI | 759 ml/m2 |
EVLWI | 10.5 ml/kg |
PVPI | 2.2 |
SVRI | 3918 DSm2/cm5 |
CFI | 2 |
GEF | 12 % |
SVV | 5 % |
PPV | % |
dPmax | 821 |
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 | 10 条 |
LUS | 12 分 |
B+ Zone | 区 |
- Vital Signs
- Blood Gas Analysis
- Vasoactive Agent and Fluid
- PiCCO Parameters
- Cardiac Ultrasound
- Lung Ultrasound
- Inferior Vena Cava
Temperature | 36.4 ℃ |
Heart Rate | 82 次/分 |
Breath | 19 次/分 |
Systolic Pressure | 147 mmHg |
Diastolic Pressure | 70 mmHg |
Mean Arterial Pressure | 98 mmHg |
Pcv-aCO2 | 7.9 mmHg |
DO2 | 777.1 |
VO2 | 202.9 |
Ca-vO2 | 48.7 |
PH value | 7.43 |
PaO2 | 89.7 mmHg |
PaCO2 | 39.6 mmHg |
BE | 1.9 mmol/L |
SaO2 | 97.8 % |
Blood Lactic Acid Concentration | 2.0 mmol/L |
Oxygenation index (PaO2/FiO2) | 149.5 mmHg |
PH value | 7.39 |
PcvO2 | 40.1 mmHg |
PcvCO2 | 47.5 mmHg |
BE | 2.7 mmol/L |
ScvO2 | 72.3 % |
Volume of input | 2100 ml |
Volume of output | 560 ml |
Volume of urine | 500 ml |
Ultrafiltration Volume | 0 ml |
Norepinephrine Dosage | 12 mg |
Dopamine Dosage | mg |
Epinephrine Dosage | mg |
Pituitrin Dosage | U |
Dobutamine Dosage | mg |
Milrinone Dosage | 10 mg |
Levosimendan | no
|
CVP | 4 mmHg |
cardiac output | 4.17 L/min |
cardiac index | 2.13 L/min/m2 |
stroke volume | 42 ml |
Stroke Index | 25.9 ml/m2 |
ITBVI | 854 ml/m2 |
GEDVI | 684 ml/m2 |
EVLWI | 10.5 ml/kg |
PVPI | 2.5 |
SVRI | 3533 DSm2/cm5 |
CFI | 3 |
GEF | 15 % |
SVV | 5 % |
PPV | % |
dPmax | 996 |
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 | 10 分 |
B+ Zone | 区 |
IVC(inspiratory phase) | 17 mm |
IVC(expiratory phase) | 12 mm |
Respiratory variations of inferior vena cavae diameter | 29 % |
15 mm |
|
13 mm |
|
13 mm |
|
11 mm |
- Vital Signs
- Blood Gas Analysis
- Vasoactive Agent and Fluid
- PiCCO Parameters
- Cardiac Ultrasound
- Lung Ultrasound
- Inferior Vena Cava
Temperature | 37.1 ℃ |
Heart Rate | 72 次/分 |
Breath | 18 次/分 |
Systolic Pressure | 160 mmHg |
Diastolic Pressure | 77 mmHg |
Mean Arterial Pressure | 110 mmHg |
Pcv-aCO2 | 6.8 mmHg |
DO2 | 716.0 |
VO2 | 403.5 |
Ca-vO2 | 100.1 |
PH value | 7.49 |
PaO2 | 67.5 mmHg |
PaCO2 | 35.4 mmHg |
BE | 3.9 mmol/L |
SaO2 | 94.6 % |
Blood Lactic Acid Concentration | 1.2 mmol/L |
Oxygenation index (PaO2/FiO2) | 112.5 mmHg |
PH value | 7.48 |
PcvO2 | 24.7 mmHg |
PcvCO2 | 42.2 mmHg |
BE | 7.3 mmol/L |
ScvO2 | 41.3 % |
Volume of input | 2860 ml |
Volume of output | 1020 ml |
Volume of urine | 960 ml |
Ultrafiltration Volume | 0 ml |
Norepinephrine Dosage | 25 mg |
Dopamine Dosage | mg |
Epinephrine Dosage | mg |
Pituitrin Dosage | U |
Dobutamine Dosage | mg |
Milrinone Dosage | 30 mg |
Levosimendan | no
|
CVP | 9 mmHg |
cardiac output | 4.03 L/min |
cardiac index | 2.36 L/min/m2 |
stroke volume | 48 ml |
Stroke Index | 22.8 ml/m2 |
ITBVI | 1091 ml/m2 |
GEDVI | 823 ml/m2 |
EVLWI | 10.4 ml/kg |
PVPI | 1.9 |
SVRI | 3419 DSm2/cm5 |
CFI | 3 |
GEF | 15 % |
SVV | 18 % |
PPV | % |
dPmax | 753 |
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 | 5 条 |
LUS | 8 分 |
B+ Zone | 区 |
IVC(inspiratory phase) | 18 mm |
IVC(expiratory phase) | 16 mm |
Respiratory variations of inferior vena cavae diameter | 11 % |
15 mm |
|
13 mm |
|
12 mm |
|
10 mm |
- Vital Signs
- Blood Gas Analysis
- Vasoactive Agent and Fluid
- PiCCO Parameters
- Cardiac Ultrasound
- Lung Ultrasound
- Inferior Vena Cava
Temperature | 37 ℃ |
Heart Rate | 110 次/分 |
Breath | 20 次/分 |
Systolic Pressure | 125 mmHg |
Diastolic Pressure | 70 mmHg |
Mean Arterial Pressure | 91 mmHg |
Pcv-aCO2 | 10.5 mmHg |
DO2 | 998.5 |
VO2 | 398.9 |
Ca-vO2 | 71.5 |
PH value | 7.46 |
PaO2 | 68 mmHg |
PaCO2 | 41.6 mmHg |
BE | 5.5 mmol/L |
SaO2 | 94.6 % |
Blood Lactic Acid Concentration | 2.0 mmol/L |
Oxygenation index (PaO2/FiO2) | 170 mmHg |
PH value | 7.45 |
PcvO2 | 41.2 mmHg |
PcvCO2 | 52.1 mmHg |
BE | 4.5 mmol/L |
ScvO2 | 56.8 % |
Volume of input | 3700 ml |
Volume of output | 2180 ml |
Volume of urine | 2060 ml |
Ultrafiltration Volume | 0 ml |
Norepinephrine Dosage | 48 mg |
Dopamine Dosage | mg |
Epinephrine Dosage | mg |
Pituitrin Dosage | U |
Dobutamine Dosage | mg |
Milrinone Dosage | 60 mg |
Levosimendan | no
|
CVP | 5 mmHg |
cardiac output | 5.58 L/min |
cardiac index | 2.85 L/min/m2 |
stroke volume | 50 ml |
Stroke Index | 25.9 ml/m2 |
ITBVI | 1151 ml/m2 |
GEDVI | 921 ml/m2 |
EVLWI | 10.9 ml/kg |
PVPI | 1.9 |
SVRI | 2415 DSm2/cm5 |
CFI | 3 |
GEF | 11 % |
SVV | 24 % |
PPV | % |
dPmax | 595 |
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 | 3 条 |
LUS | 6 分 |
B+ Zone | 区 |
IVC(inspiratory phase) | 17 mm |
IVC(expiratory phase) | 15 mm |
Respiratory variations of inferior vena cavae diameter | 12 % |
16 mm |
|
14 mm |
|
15 mm |
|
12 mm |
- Vital Signs
- Blood Gas Analysis
- Vasoactive Agent and Fluid
- PiCCO Parameters
- Cardiac Ultrasound
- Lung Ultrasound
- Inferior Vena Cava
Temperature | 36.9 ℃ |
Heart Rate | 62 次/分 |
Breath | 19 次/分 |
Systolic Pressure | 117 mmHg |
Diastolic Pressure | 59 mmHg |
Mean Arterial Pressure | 81 mmHg |
Pcv-aCO2 | 8.4 mmHg |
DO2 | 671.5 |
VO2 | 147.0 |
Ca-vO2 | 37.4 |
PH value | 7.47 |
PaO2 | 60.7 mmHg |
PaCO2 | 42.3 mmHg |
BE | 6.7 mmol/L |
SaO2 | 92.3 % |
Blood Lactic Acid Concentration | 2.2 mmol/L |
Oxygenation index (PaO2/FiO2) | 151.8 mmHg |
PH value | 7.46 |
PcvO2 | 39.9 mmHg |
PcvCO2 | 50.7 mmHg |
BE | 5.6 mmol/L |
ScvO2 | 72.1 % |
Volume of input | 4800 ml |
Volume of output | 3750 ml |
Volume of urine | 3500 ml |
Ultrafiltration Volume | 0 ml |
Norepinephrine Dosage | 52 mg |
Dopamine Dosage | mg |
Epinephrine Dosage | mg |
Pituitrin Dosage | U |
Dobutamine Dosage | mg |
Milrinone Dosage | 80 mg |
Levosimendan | no
|
CVP | 6 mmHg |
cardiac output | 3.93 L/min |
cardiac index | 2.01 L/min/m2 |
stroke volume | 37 ml |
Stroke Index | 32.3 ml/m2 |
ITBVI | 1042 ml/m2 |
GEDVI | 834 ml/m2 |
EVLWI | 7.4 ml/kg |
PVPI | 1.4 |
SVRI | 2991 DSm2/cm5 |
CFI | 2 |
GEF | 14 % |
SVV | 8 % |
PPV | % |
dPmax | 5.8 |
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 | 2 条 |
LUS | 5 分 |
B+ Zone | 区 |
IVC(expiratory phase) | 16 mm |
Respiratory variations of inferior vena cavae diameter | 15 % |
IVC(inspiratory phase) | 6 mm |
15 mm |
|
13 mm |
|
13 mm |
|
10 mm |
- Cardiac Function Indices
- Renel Function Indices
- Blood Routine Tests
- Sequential Organ Failure Assessment
NT-proBNP | 1113 pg/ml |
BNP | pg/ml |
cTNI | 0.602 ng/ml |
Creatine kinase isoenzyme, CKMB | 59 U/L |
Creatinine | 93 umol/L |
Urea nitrogen | 5.7 mmol/l |
MDRD | ml/min/1.73m2 |
Date of examination | yyyy-mm-dd |
WBC | 20.1 X10*9/L |
neutrophilic granulocyte percentage | 92.3 % |
Hb | 146 g/L |
CRP | 24.31 mg/L |
Procalcitonin, PCT | ng/ml |
Date of test |
|
Sequential Organ Failure Assessment | 18 分 |
- Cardiac Function Indices
- Renel Function Indices
- Blood Routine Tests
- Sequential Organ Failure Assessment
NT-proBNP | pg/ml |
BNP | 2771 pg/ml |
cTNI | 0.203 ng/ml |
Creatine kinase isoenzyme, CKMB | 8 U/L |
Creatinine | 87 umol/L |
Urea nitrogen | 13.3 mmol/l |
MDRD | ml/min/1.73m2 |
WBC | 20.7 X10*9/L |
neutrophilic granulocyte percentage | 94.7 % |
Hb | 140 g/L |
CRP | 303.67 mg/L |
Procalcitonin, PCT | ng/ml |
Sequential Organ Failure Assessment | 15 分 |
- Cardiac Function Indices
- Renel Function Indices
- Blood Routine Tests
- Sequential Organ Failure Assessment
NT-proBNP | 602 pg/ml |
BNP | pg/ml |
cTNI | 0.01 ng/ml |
Creatine kinase isoenzyme, CKMB | 9 U/L |
Creatinine | 69 umol/L |
Urea nitrogen | 14.1 mmol/L |
MDRD | ml/min/1.73m2 |
WBC | 13.9 X10*9/L |
neutrophilic granulocyte percentage | 92.7 % |
Hb | 141 g/L |
CRP | 250.5 mg/L |
Procalcitonin, PCT | ng/ml |
Sequential Organ Failure Assessment | 10 分 |
Transfusion of Red Cells | no
|
Transfusion of Red Cells | U |
Plasma infusion | no
|
Plasma infusion | ml |
platelet transfusion | no
|
platelet transfusion | U |
APACHEⅡ | 10 分 |
Complication | no
|
prognosis | improve
|
28-day mortality | no
|
survival time(day) | 天 |
death time | yyyy/mm/dd |
diagnosis of death |
|
length of stay | 29 天 |
duration in ICU | 10 天 |
duration of mechanical ventilation | 192 小时 |
ICU expenses | 65020 元 |
Continuous Renal Replacement Therapy | no
|
Continuous Renal Replacement Therapy | 小时 |