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

name

sat

sex

male

age

76

hospital number

17024182

height

153 cm

weight

45 kg

BSA

1.41 m2

APACHEⅡ

33

Infection source

abdominal

date

2017/7/18 年/月/日

Sequential Organ Failure Assessment

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

Pulmonary interstitial fibrosis

Serious arrhythmia

Small Tidal Volume Ventilation

Liver failure

Refuse to participate

1.4.Past medical history

Heart disease

coronary atherosclerotic cardiopathy

yes

no

no

yes

no

2.T0
1.

yes

亚胺培南西司他丁

vasoactive agent

norepinephrine
/
dopamine

30 min

60 min

30 min

2.vital signs

Temperature

36.2

Heart Rate

107 次/分

Breath

14 次/分

Systolic pressure (SP)

166 mmHg

Diastolic pressure

52 mmHg

mean arterial pressure

83 mmHg

3.Blood Gas Analysis

Pcv-aCO2

2 mmHg

DO2

749.23

VO2

188.40

Ca-vO2

25.71

2.3.、arterial blood gas analysis

pH value

7.36

PaO2

142 mmHg

PaCO2

33 mmHg

BE

-7.3 mmol/L(±2.3mmol/L)

SaO2

99.0 %

Blood lactic acid concentration, LAC

2.1 mmol/L

Oxygenation index (PaO2/FiO2)

355.0 mmHg

2.3.、Central venous blood gas analysis

pH value

7.35

PcvO2

58 mmHg

PcvCO2

35 mmHg

BE

-7.5 mmol/L

ScvO2

74.0 %

4.vasoactive agent and fluid

Volume of input

600 ml

Volume of output

50 ml

Volume of urine

50 ml

ultrafiltration volume

0 ml

norepinephrine

yes

Norepinephrine Dosage

0.0017 μg/Kg/min

dopamine

yes

Dopamine Dosage

7.4 μg/Kg/min

Dobutamine

No

Dobutamine Dosage

μg/Kg/min

5.PiCCO parameters

CVP

13 mmHg

cardiac output

7.4 L/min

cardiac index

5.2 L/min/m2

stroke volume

65 ml

Stroke Index

70 ml/m2

ITBVI

1234 ml/m2

GEDVI

988 ml/m2

EVLWI

9 ml/kg

PVPI

1.2

SVRI

1300 DSm2/cm5

CFI

5.2

GEF

22.0 %

SVV

25.0 %

PPV

14 %

dPmax

3136

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

LUS

2

B+ Zone

8.inferior vena cava
2.8.1.、

IVC(inspiratory phase)

18.3 mm

IVC(expiratory phase)

15.2 mm

respiratory variations of inferior vena cavae diameter

18.51 %

2.8.2.、

mm

mm

mm

mm

3.T6
7..Inferior Vena Cava
3.7..1、

IVC(inspiratory phase)

18.7 mm

IVC(expiratory phase)

14.6 mm

Respiratory variations of inferior vena cavae diameter

24.62 %

3.7..2、

mm

mm

mm

mm

1..Vital Signs

Temperature

36.5

Heart Rate

98 次/分

Breath

16 次/分

Systolic Pressure

137 mmHg

Diastolic Pressure

57 mmHg

Mean Arterial Pressure

83 mmHg

2..Blood Gas Analysis

Pcv-aCO2

mmHg

DO2

VO2

Ca-vO2

3.2..、Arterial Blood Gases

PH value

PaO2

mmHg

PaCO2

mmHg

BE

mmol/L

SaO2

%

Blood Lactic Acid Concentration

mmol/L

Oxygenation index (PaO2/FiO2)

mmHg

3.2..、Venous Blood Gas

PH value

PcvO2

mmHg

PcvCO2

mmHg

BE

mmol/L

ScvO2

%

3..Vasoactive Agent and Fluid

Volume of input

1210 ml

Volume of output

670 ml

Volume of urine

70 ml

Ultrafiltration Volume

620 ml

Norepinephrine Dosage

32.8 mg

Dopamine Dosage

120 mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

no

4..PiCCO Parameters

CVP

10 mmHg

cardiac output

6.95 L/min

cardiac index

4.38 L/min/m2

stroke volume

62 ml

Stroke Index

40 ml/m2

ITBVI

1255 ml/m2

GEDVI

1004 ml/m2

EVLWI

9 ml/kg

PVPI

1.2

SVRI

1420 DSm2/cm5

CFI

4.8

GEF

19.0 %

SVV

25 %

PPV

18 %

dPmax

2631

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

2

B+ Zone

4.T12
1..Vital Signs

Temperature

36.3

Heart Rate

113 次/分

Breath

16 次/分

Systolic Pressure

129 mmHg

Diastolic Pressure

54 mmHg

Mean Arterial Pressure

82 mmHg

2..Blood Gas Analysis

Pcv-aCO2

5.0 mmHg

DO2

689.74

VO2

151.83

Ca-vO2

23.08

4.2..、Arterial Blood Gas

PH value

7.32

PaO2

115 mmHg

PaCO2

35 mmHg

BE

-8 mmol/L

SaO2

97.80 %

Blood Lactic Acid Concentration

1.5 mmol/L

Oxygenation index (PaO2/FiO2)

287.50 mmHg

4.2..、Venous Blood Gas

PH value

7.34

PcvO2

44 mmHg

PcvCO2

40 mmHg

BE

-4.5 mmol/L

ScvO2

76.20 %

3..Vasoactive Agent and Fluid

Volume of input

2530 ml

Volume of output

1370 ml

Volume of urine

70 ml

Ultrafiltration Volume

1200 ml

Norepinephrine Dosage

47.2 mg

Dopamine Dosage

240 mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

no

4..PiCCO Parameters

CVP

11 mmHg

cardiac output

6.64 L/min

cardiac index

4.19 L/min/m2

stroke volume

64 ml

Stroke Index

40 ml/m2

ITBVI

1126 ml/m2

GEDVI

901 ml/m2

EVLWI

8 ml/kg

PVPI

1.2

SVRI

1305 DSm2/cm5

CFI

5.1

GEF

20.0 %

SVV

30.0 %

PPV

26 %

dPmax

1092

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

1

B+ Zone

7..Inferior Vena Cava
4.7..1、

IVC(inspiratory phase)

17.2 mm

IVC(expiratory phase)

14.6 mm

Respiratory variations of inferior vena cavae diameter

16.35 %

4.7..2、

mm

mm

mm

mm

5.T24
1.Vital Signs

Temperature

36.7

Heart Rate

83 次/分

Breath

15 次/分

Systolic Pressure

112 mmHg

Diastolic Pressure

49 mmHg

Mean Arterial Pressure

75 mmHg

2.Blood Gas Analysis

Pcv-aCO2

9.0 mmHg

DO2

571.88

VO2

122.68

Ca-vO2

23.16

5.2.、Arterial Blood Gas

PH value

7.51

PaO2

186 mmHg

PaCO2

23 mmHg

BE

-4.1 mmol/L

SaO2

99.70 %

Blood Lactic Acid Concentration

1.4 mmol/L

Oxygenation index (PaO2/FiO2)

465 mmHg

5.2.、Venous Blood Gas

PH value

7.45

PcvO2

51 mmHg

PcvCO2

32 mmHg

BE

-3.8 mmol/L

ScvO2

78.20 %

3.Vasoactive Agent and Fluid

Volume of input

3490 ml

Volume of output

3090 ml

Volume of urine

190 ml

Ultrafiltration Volume

2900 ml

Norepinephrine Dosage

63.2 mg

Dopamine Dosage

480 mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

no

4.PiCCO Parameters

CVP

13 mmHg

cardiac output

5.39 L/min

cardiac index

3.4 L/min/m2

stroke volume

68 ml

Stroke Index

43 ml/m2

ITBVI

1143 ml/m2

GEDVI

914 ml/m2

EVLWI

8 ml/kg

PVPI

1.1

SVRI

1506 DSm2/cm5

CFI

4.1

GEF

25.0 %

SVV

22.0 %

PPV

18 %

dPmax

1570

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

2

B+ Zone

7.Inferior Vena Cava
5.7.1、

IVC(inspiratory phase)

19.3 mm

IVC(expiratory phase)

16.7 mm

Respiratory variations of inferior vena cavae diameter

14.44 %

5.7.2、

mm

mm

mm

mm

6.T48
1.Vital Signs

Temperature

36.4

Heart Rate

85 次/分

Breath

14 次/分

Systolic Pressure

120 mmHg

Diastolic Pressure

54 mmHg

Mean Arterial Pressure

76 mmHg

2.Blood Gas Analysis

Pcv-aCO2

27.49 mmHg

DO2

559.07

VO2

148.13

Ca-vO2

27.49

6.2.、Arterial Blood Gas

PH value

7.41

PaO2

107 mmHg

PaCO2

35 mmHg

BE

-2.13 mmol/L

SaO2

98.20 %

Blood Lactic Acid Concentration

1.1 mmol/L

Oxygenation index (PaO2/FiO2)

267.50 mmHg

6.2.、Venous Blood Gas

PH value

7.4

PcvO2

37 mmHg

PcvCO2

40 mmHg

BE

-1.7 mmol/L

ScvO2

72.10 %

3.Vasoactive Agent and Fluid

Volume of input

5847 ml

Volume of output

6000 ml

Volume of urine

320 ml

Ultrafiltration Volume

5680 ml

Norepinephrine Dosage

67.4 mg

Dopamine Dosage

960 mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

no

4.PiCCO Parameters

CVP

11 mmHg

cardiac output

5.43 L/min

cardiac index

3.88 L/min/m2

stroke volume

62 ml

Stroke Index

44 ml/m2

ITBVI

1092 ml/m2

GEDVI

806 ml/m2

EVLWI

8 ml/kg

PVPI

1.2

SVRI

1803 DSm2/cm5

CFI

5.6

GEF

27.0 %

SVV

21.0 %

PPV

19 %

dPmax

1703

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

0

B+ Zone

7.Inferior Vena Cava
6.7.1、

IVC(inspiratory phase)

18.4 mm

IVC(expiratory phase)

16.5 mm

Respiratory variations of inferior vena cavae diameter

10.89 %

6.7.2、

mm

mm

mm

mm

7.T72
1.Vital Signs

Temperature

36.8

Heart Rate

96 次/分

Breath

14 次/分

Systolic Pressure

115 mmHg

Diastolic Pressure

52 mmHg

Mean Arterial Pressure

73 mmHg

2.Blood Gas Analysis

Pcv-aCO2

3.0 mmHg

DO2

607.42

VO2

132.20

Ca-vO2

23.99

7.2.、Arterial Blood Gas

PH value

7.41

PaO2

127 mmHg

PaCO2

35 mmHg

BE

-2.1 mmol/L

SaO2

98.90 %

Blood Lactic Acid Concentration

1.1 mmol/L

Oxygenation index (PaO2/FiO2)

317.50 mmHg

7.2.、Venous Blood Gas

PH value

7.36

PcvO2

41 mmHg

PcvCO2

38 mmHg

BE

-1.9 mmol/L

ScvO2

77.30 %

3.Vasoactive Agent and Fluid

Volume of input

8732 ml

Volume of output

8451 ml

Volume of urine

580 ml

Ultrafiltration Volume

7871 ml

Norepinephrine Dosage

67.4 mg

Dopamine Dosage

1440 mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

no

4.PiCCO Parameters

CVP

9 mmHg

cardiac output

5.57 L/min

cardiac index

3.9 L/min/m2

stroke volume

58 ml

Stroke Index

41 ml/m2

ITBVI

998 ml/m2

GEDVI

810 ml/m2

EVLWI

7 ml/kg

PVPI

1.3

SVRI

1900 DSm2/cm5

CFI

5.3

GEF

25.0 %

SVV

20.0 %

PPV

18 %

dPmax

1630

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

0

B+ Zone

7.Inferior Vena Cava
7.7.1、

IVC(expiratory phase)

18.7 mm

Respiratory variations of inferior vena cavae diameter

16.3 %

IVC(inspiratory phase)

13.71 mm

7.7.2、

mm

mm

mm

mm

8.Day 1
1.Cardiac Function Indices

NT-proBNP

pg/ml

BNP

1327 pg/ml

cTNI

0.581 ng/ml

Creatine kinase isoenzyme, CKMB

1066 U/L

2.Renel Function Indices

Creatinine

629 umol/L

Urea nitrogen

25.9 mmol/l

MDRD

0.056 ml/min/1.73m2

Date of examination

yyyy-mm-dd

3.Blood Routine Tests

WBC

27.5 X10*9/L

neutrophilic granulocyte percentage

86.9 %

Hb

g/L

CRP

12.5 mg/L

Procalcitonin, PCT

8.79 ng/ml

Date of test

4.Sequential Organ Failure Assessment

Sequential Organ Failure Assessment

15

9.Day 2
1.Cardiac Function Indices

NT-proBNP

pg/ml

BNP

1078 pg/ml

cTNI

0.87 ng/ml

Creatine kinase isoenzyme, CKMB

1103 U/L

2.Renel Function Indices

Creatinine

151 umol/L

Urea nitrogen

7.4 mmol/l

MDRD

0.291 ml/min/1.73m2

3.Blood Routine Tests

WBC

21.2 X10*9/L

neutrophilic granulocyte percentage

92.8 %

Hb

g/L

CRP

45.6 mg/L

Procalcitonin, PCT

8.16 ng/ml

4.Sequential Organ Failure Assessment

Sequential Organ Failure Assessment

9

10.Day 3
1.Cardiac Function Indices

NT-proBNP

pg/ml

BNP

887 pg/ml

cTNI

1.21 ng/ml

Creatine kinase isoenzyme, CKMB

1362 U/L

2.Renel Function Indices

Creatinine

164 umol/L

Urea nitrogen

5.4 mmol/L

MDRD

0.265 ml/min/1.73m2

3.Blood Routine Tests

WBC

9.9 X10*9/L

neutrophilic granulocyte percentage

93 %

Hb

g/L

CRP

36.7 mg/L

Procalcitonin, PCT

5.14 ng/ml

4.Sequential Organ Failure Assessment

Sequential Organ Failure Assessment

7

11.At the end of the study
4.1.

Transfusion of Red Cells

yes

Transfusion of Red Cells

1.5 U

Plasma infusion

no

Plasma infusion

ml

platelet transfusion

no

platelet transfusion

U

APACHEⅡ

14

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

18

duration in ICU

12

duration of mechanical ventilation

98 小时

ICU expenses

Continuous Renal Replacement Therapy

yes

Continuous Renal Replacement Therapy

小时