当前位置:公众访问 >页面
简体中文 / English
1.Basic Information
1.1.Basic Information

name

fqc

sex

male

age

81

hospital number

858294

height

173 cm

weight

61 kg

BSA

1.76 m2

APACHEⅡ

23

Infection source

lung

date

2018/1/8 年/月/日

Sequential Organ Failure Assessment

10

Fluid resuscitation

CVP8-12 mmHg
/
MAP≥65 mmHg
/
ScvO2≥70%
/
urine volume≥0.5

1.2.Inclusion Criteria

age>=60

yes

septic shock

yes

mechanical ventilation

trachea cannula

Early fluid resuscitation

yes

1.3.Exclusion Criteria

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

1.4.Past medical history

Heart disease

no

yes

no

yes

no

yes

2.T0
1.

yes

亚胺培南西司他丁钠1g ivgtt q8h

vasoactive agent

norepinephrine

100 min

150 min

180 min

2.vital signs

Temperature

37.8

Heart Rate

100 次/分

Breath

23 次/分

Systolic pressure (SP)

135 mmHg

Diastolic pressure

73 mmHg

mean arterial pressure

96 mmHg

3.Blood Gas Analysis

Pcv-aCO2

13.5 mmHg

DO2

539.81

VO2

136.18

Ca-vO2

44.08

2.3.、arterial blood gas analysis

pH value

7.33

PaO2

49 mmHg

PaCO2

49.9 mmHg

BE

-0.4 mmol/L(±2.3mmol/L)

SaO2

100.20 %

Blood lactic acid concentration, LAC

2.2 mmol/L

Oxygenation index (PaO2/FiO2)

81.67 mmHg

2.3.、Central venous blood gas analysis

pH value

7.27

PcvO2

47.2 mmHg

PcvCO2

63.4 mmHg

BE

0.5 mmol/L

ScvO2

74.9 %

4.vasoactive agent and fluid

Volume of input

0 ml

Volume of output

0 ml

Volume of urine

0 ml

ultrafiltration volume

0 ml

norepinephrine

yes

Norepinephrine Dosage

0.5 μg/Kg/min

dopamine

no

Dopamine Dosage

μg/Kg/min

Dobutamine

Yes

Dobutamine Dosage

5 μg/Kg/min

5.PiCCO parameters

CVP

8 mmHg

cardiac output

3.09 L/min

cardiac index

1.76 L/min/m2

stroke volume

32 ml

Stroke Index

17.6 ml/m2

ITBVI

923 ml/m2

GEDVI

778 ml/m2

EVLWI

8.9 ml/kg

PVPI

1.7

SVRI

4008 DSm2/cm5

CFI

2

GEF

9 %

SVV

12 %

PPV

%

dPmax

1226

6.Cardiac Ultrasound

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

7.lung ultrasound

the number of B line

3

LUS

5

B+ Zone

1

8.inferior vena cava
2.8.1.、

IVC(inspiratory phase)

15 mm

IVC(expiratory phase)

10.2 mm

respiratory variations of inferior vena cavae diameter

38.1 %

2.8.2.、

mm

mm

mm

mm

3.T6
7..Inferior Vena Cava
3.7..1、

IVC(inspiratory phase)

16 mm

IVC(expiratory phase)

12 mm

Respiratory variations of inferior vena cavae diameter

28.57 %

3.7..2、

mm

mm

mm

mm

1..Vital Signs

Temperature

37.2

Heart Rate

176 次/分

Breath

20 次/分

Systolic Pressure

107 mmHg

Diastolic Pressure

62 mmHg

Mean Arterial Pressure

79 mmHg

2..Blood Gas Analysis

Pcv-aCO2

8.7 mmHg

DO2

523.62

VO2

123.29

Ca-vO2

36.52

3.2..、Arterial Blood Gases

PH value

7.32

PaO2

97.8 mmHg

PaCO2

51.2 mmHg

BE

-0.8 mmol/L

SaO2

97.5 %

Blood Lactic Acid Concentration

1.1 mmol/L

Oxygenation index (PaO2/FiO2)

217.33 mmHg

3.2..、Venous Blood Gas

PH value

7.28

PcvO2

48.3 mmHg

PcvCO2

59.5 mmHg

BE

0 mmol/L

ScvO2

74.5 %

3..Vasoactive Agent and Fluid

Volume of input

1028 ml

Volume of output

450 ml

Volume of urine

400 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

10 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

100 mg

Milrinone Dosage

mg

Levosimendan

no

4..PiCCO Parameters

CVP

10 mmHg

cardiac output

3.39 L/min

cardiac index

1.93 L/min/m2

stroke volume

38 ml

Stroke Index

22.4 ml/m2

ITBVI

932 ml/m2

GEDVI

746 ml/m2

EVLWI

6.2 ml/kg

PVPI

12

SVRI

2864 DSm2/cm5

CFI

3

GEF

9 %

SVV

22.4 %

PPV

%

dPmax

882

5..Cardiac Ultrasound

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

6..Lung Ultrasound

The number of B line

2

LUS

3

B+ Zone

1

4.T12
1..Vital Signs

Temperature

37

Heart Rate

122 次/分

Breath

18 次/分

Systolic Pressure

139 mmHg

Diastolic Pressure

74 mmHg

Mean Arterial Pressure

97 mmHg

2..Blood Gas Analysis

Pcv-aCO2

7.9 mmHg

DO2

898.81

VO2

214.42

Ca-vO2

34.81

4.2..、Arterial Blood Gas

PH value

7.35

PaO2

103 mmHg

PaCO2

44.4 mmHg

BE

-1.5 mmol/L

SaO2

98.3 %

Blood Lactic Acid Concentration

1 mmol/L

Oxygenation index (PaO2/FiO2)

228.89 mmHg

4.2..、Venous Blood Gas

PH value

7.31

PcvO2

46.8 mmHg

PcvCO2

52.3 mmHg

BE

-0.8 mmol/L

ScvO2

74.8 %

3..Vasoactive Agent and Fluid

Volume of input

1500 ml

Volume of output

680 ml

Volume of urine

600 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

15 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

200 mg

Milrinone Dosage

mg

Levosimendan

no

4..PiCCO Parameters

CVP

10 mmHg

cardiac output

6.19 L/min

cardiac index

3.52 L/min/m2

stroke volume

42 ml

Stroke Index

28.8 ml/m2

ITBVI

941 ml/m2

GEDVI

753 ml/m2

EVLWI

8 ml/kg

PVPI

1.6

SVRI

1978 DSm2/cm5

CFI

1206

GEF

15 %

SVV

17 %

PPV

%

dPmax

5

5..Cardiac Ultrasound

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

6..Lung Ultrasound

The number of B line

2

LUS

4

B+ Zone

1

7..Inferior Vena Cava
4.7..1、

IVC(inspiratory phase)

18 mm

IVC(expiratory phase)

16 mm

Respiratory variations of inferior vena cavae diameter

11.76 %

4.7..2、

mm

mm

mm

mm

5.T24
1.Vital Signs

Temperature

36.8

Heart Rate

93 次/分

Breath

16 次/分

Systolic Pressure

133 mmHg

Diastolic Pressure

75 mmHg

Mean Arterial Pressure

96 mmHg

2.Blood Gas Analysis

Pcv-aCO2

5.40 mmHg

DO2

783.82

VO2

157.28

Ca-vO2

30.27

5.2.、Arterial Blood Gas

PH value

7.38

PaO2

135 mmHg

PaCO2

47.9 mmHg

BE

2.5 mmol/L

SaO2

99.4 %

Blood Lactic Acid Concentration

1.7 mmol/L

Oxygenation index (PaO2/FiO2)

300.00 mmHg

5.2.、Venous Blood Gas

PH value

7.36

PcvO2

50.9 mmHg

PcvCO2

53.3 mmHg

BE

3.1 mmol/L

ScvO2

79.4 %

3.Vasoactive Agent and Fluid

Volume of input

2321 ml

Volume of output

2300 ml

Volume of urine

2350 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

30 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

250 mg

Milrinone Dosage

30 mg

Levosimendan

no

4.PiCCO Parameters

CVP

11 mmHg

cardiac output

5.24 L/min

cardiac index

2.98 L/min/m2

stroke volume

45 ml

Stroke Index

32 ml/m2

ITBVI

1233 ml/m2

GEDVI

986 ml/m2

EVLWI

1.5 ml/kg

PVPI

1

SVRI

2283 DSm2/cm5

CFI

3

GEF

14 %

SVV

18 %

PPV

%

dPmax

747

5.Cardiac Ultrasound

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

6.Lung Ultrasound

The number of B line

2

LUS

6

B+ Zone

1

7.Inferior Vena Cava
5.7.1、

IVC(inspiratory phase)

16 mm

IVC(expiratory phase)

12 mm

Respiratory variations of inferior vena cavae diameter

28.57 %

5.7.2、

mm

mm

mm

mm

6.T48
1.Vital Signs

Temperature

37.1

Heart Rate

66 次/分

Breath

16 次/分

Systolic Pressure

119 mmHg

Diastolic Pressure

61 mmHg

Mean Arterial Pressure

82 mmHg

2.Blood Gas Analysis

Pcv-aCO2

mmHg

DO2

VO2

Ca-vO2

6.2.、Arterial Blood Gas

PH value

PaO2

mmHg

PaCO2

mmHg

BE

mmol/L

SaO2

%

Blood Lactic Acid Concentration

mmol/L

Oxygenation index (PaO2/FiO2)

mmHg

6.2.、Venous Blood Gas

PH value

PcvO2

mmHg

PcvCO2

mmHg

BE

mmol/L

ScvO2

%

3.Vasoactive Agent and Fluid

Volume of input

4050 ml

Volume of output

4250 ml

Volume of urine

4100 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

35 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

300 mg

Milrinone Dosage

30 mg

Levosimendan

no

4.PiCCO Parameters

CVP

8 mmHg

cardiac output

4.25 L/min

cardiac index

2.41 L/min/m2

stroke volume

41 ml

Stroke Index

36.6 ml/m2

ITBVI

1069 ml/m2

GEDVI

856 ml/m2

EVLWI

11.2 ml/kg

PVPI

1.9

SVRI

2450 DSm2/cm5

CFI

3

GEF

17 %

SVV

8 %

PPV

%

dPmax

804

5.Cardiac Ultrasound

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

6.Lung Ultrasound

The number of B line

2

LUS

7

B+ Zone

2

7.Inferior Vena Cava
6.7.1、

IVC(inspiratory phase)

18 mm

IVC(expiratory phase)

15 mm

Respiratory variations of inferior vena cavae diameter

18.18 %

6.7.2、

mm

mm

mm

mm

7.T72
1.Vital Signs

Temperature

Heart Rate

次/分

Breath

次/分

Systolic Pressure

mmHg

Diastolic Pressure

mmHg

Mean Arterial Pressure

mmHg

2.Blood Gas Analysis

Pcv-aCO2

5.4 mmHg

DO2

0

VO2

0

Ca-vO2

36.42

7.2.、Arterial Blood Gas

PH value

7.47

PaO2

57 mmHg

PaCO2

40.4 mmHg

BE

5.7 mmol/L

SaO2

87 %

Blood Lactic Acid Concentration

1.2 mmol/L

Oxygenation index (PaO2/FiO2)

142.50 mmHg

7.2.、Venous Blood Gas

PH value

7.44

PcvO2

38.7 mmHg

PcvCO2

45.8 mmHg

BE

6.1 mmol/L

ScvO2

62.1 %

3.Vasoactive Agent and Fluid

Volume of input

5891 ml

Volume of output

5800 ml

Volume of urine

5650 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

35 mg

Dopamine Dosage

mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

300 mg

Milrinone Dosage

30 mg

Levosimendan

no

4.PiCCO Parameters

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

5.Cardiac Ultrasound

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

6.Lung Ultrasound

The number of B line

LUS

B+ Zone

7.Inferior Vena Cava
7.7.1、

IVC(expiratory phase)

mm

Respiratory variations of inferior vena cavae diameter

%

IVC(inspiratory phase)

mm

7.7.2、

mm

mm

mm

mm

8.Day 1
1.Cardiac Function Indices

NT-proBNP

pg/ml

BNP

pg/ml

cTNI

0.034 ng/ml

Creatine kinase isoenzyme, CKMB

16 U/L

2.Renel Function Indices

Creatinine

98 umol/L

Urea nitrogen

14.4 mmol/l

MDRD

ml/min/1.73m2

Date of examination

yyyy-mm-dd

3.Blood Routine Tests

WBC

33.5 X10*9/L

neutrophilic granulocyte percentage

86.4 %

Hb

g/L

CRP

136.21 mg/L

Procalcitonin, PCT

3.267 ng/ml

Date of test

4.Sequential Organ Failure Assessment

Sequential Organ Failure Assessment

16

9.Day 2
1.Cardiac Function Indices

NT-proBNP

pg/ml

BNP

pg/ml

cTNI

ng/ml

Creatine kinase isoenzyme, CKMB

15 U/L

2.Renel Function Indices

Creatinine

88 umol/L

Urea nitrogen

21 mmol/l

MDRD

ml/min/1.73m2

3.Blood Routine Tests

WBC

23.3 X10*9/L

neutrophilic granulocyte percentage

93.7 %

Hb

g/L

CRP

100.67 mg/L

Procalcitonin, PCT

2.13 ng/ml

4.Sequential Organ Failure Assessment

Sequential Organ Failure Assessment

15

10.Day 3
1.Cardiac Function Indices

NT-proBNP

pg/ml

BNP

pg/ml

cTNI

ng/ml

Creatine kinase isoenzyme, CKMB

5 U/L

2.Renel Function Indices

Creatinine

68 umol/L

Urea nitrogen

18.2 mmol/L

MDRD

ml/min/1.73m2

3.Blood Routine Tests

WBC

17.7 X10*9/L

neutrophilic granulocyte percentage

89.5 %

Hb

g/L

CRP

42.58 mg/L

Procalcitonin, PCT

ng/ml

4.Sequential Organ Failure Assessment

Sequential Organ Failure Assessment

12

11.At the end of the study
4.1.

Transfusion of Red Cells

no

Transfusion of Red Cells

U

Plasma infusion

no

Plasma infusion

ml

platelet transfusion

no

platelet transfusion

U

APACHEⅡ

10

Complication

no

4.2.prognosis

prognosis

department transference

28-day mortality

no

survival time(day)

death time

yyyy/mm/dd

diagnosis of death

length of stay

25

duration in ICU

4

duration of mechanical ventilation

79 小时

ICU expenses

28550

Continuous Renal Replacement Therapy

no

Continuous Renal Replacement Therapy

0 小时