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

name

lhz

sex

female

age

85

hospital number

17018975

height

155 cm

weight

50 kg

BSA

1.47 m2

APACHEⅡ

16

Infection source

other

date

2017/6/17 年/月/日

Sequential Organ Failure Assessment

7

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

no

no

no

2.T0
1.

yes

亚胺培南西司他丁

vasoactive agent

norepinephrine
/
dopamine

30 min

60 min

60 min

2.vital signs

Temperature

37.1

Heart Rate

93 次/分

Breath

30 次/分

Systolic pressure (SP)

134 mmHg

Diastolic pressure

63 mmHg

mean arterial pressure

93 mmHg

3.Blood Gas Analysis

Pcv-aCO2

7 mmHg

DO2

755.55

VO2

192.54

Ca-vO2

33.90

2.3.、arterial blood gas analysis

pH value

7.38

PaO2

64 mmHg

PaCO2

33 mmHg

BE

-5.3 mmol/L(±2.3mmol/L)

SaO2

91.30 %

Blood lactic acid concentration, LAC

1.1 mmol/L

Oxygenation index (PaO2/FiO2)

128.00 mmHg

2.3.、Central venous blood gas analysis

pH value

7.34

PcvO2

4 mmHg

PcvCO2

40 mmHg

BE

-5.6 mmol/L

ScvO2

68.00 %

4.vasoactive agent and fluid

Volume of input

900 ml

Volume of output

700 ml

Volume of urine

700 ml

ultrafiltration volume

0 ml

norepinephrine

yes

Norepinephrine Dosage

0.07 μg/Kg/min

dopamine

yes

Dopamine Dosage

5 μg/Kg/min

Dobutamine

No

Dobutamine Dosage

μg/Kg/min

5.PiCCO parameters

CVP

13 mmHg

cardiac output

5.71 L/min

cardiac index

3.89 L/min/m2

stroke volume

63 ml

Stroke Index

41 ml/m2

ITBVI

1161 ml/m2

GEDVI

929 ml/m2

EVLWI

8 ml/kg

PVPI

1.1

SVRI

1951 DSm2/cm5

CFI

4.2

GEF

18.00 %

SVV

12.00 %

PPV

8 %

dPmax

1276

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

0

LUS

0

B+ Zone

8.inferior vena cava
2.8.1.、

IVC(inspiratory phase)

27.5 mm

IVC(expiratory phase)

19 mm

respiratory variations of inferior vena cavae diameter

36.56 %

2.8.2.、

mm

mm

mm

mm

3.T6
7..Inferior Vena Cava
3.7..1、

IVC(inspiratory phase)

27.5 mm

IVC(expiratory phase)

19.4 mm

Respiratory variations of inferior vena cavae diameter

34.54 %

3.7..2、

mm

mm

mm

mm

1..Vital Signs

Temperature

36.6

Heart Rate

82 次/分

Breath

20 次/分

Systolic Pressure

132 mmHg

Diastolic Pressure

78 mmHg

Mean Arterial Pressure

110 mmHg

2..Blood Gas Analysis

Pcv-aCO2

4.00 mmHg

DO2

717.95

VO2

194.06

Ca-vO2

34.96

3.2..、Arterial Blood Gases

PH value

7.38

PaO2

85 mmHg

PaCO2

34 mmHg

BE

-4.9 mmol/L

SaO2

96.00 %

Blood Lactic Acid Concentration

1.1 mmol/L

Oxygenation index (PaO2/FiO2)

212.5 mmHg

3.2..、Venous Blood Gas

PH value

7.35

PcvO2

45 mmHg

PcvCO2

38 mmHg

BE

-5 mmol/L

ScvO2

70.00 %

3..Vasoactive Agent and Fluid

Volume of input

1617 ml

Volume of output

800 ml

Volume of urine

800 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

0.92 mg

Dopamine Dosage

30 mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

no

4..PiCCO Parameters

CVP

10 mmHg

cardiac output

5.57 L/min

cardiac index

3.8 L/min/m2

stroke volume

68 ml

Stroke Index

47 ml/m2

ITBVI

1210 ml/m2

GEDVI

968 ml/m2

EVLWI

9 ml/kg

PVPI

1.2

SVRI

2289 DSm2/cm5

CFI

4

GEF

18.00 %

SVV

3.00 %

PPV

2 %

dPmax

1429

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

0

LUS

0

B+ Zone

4.T12
1..Vital Signs

Temperature

36.9

Heart Rate

76 次/分

Breath

17 次/分

Systolic Pressure

146 mmHg

Diastolic Pressure

72 mmHg

Mean Arterial Pressure

101 mmHg

2..Blood Gas Analysis

Pcv-aCO2

3.00 mmHg

DO2

693.41

VO2

173.77

Ca-vO2

31.36

4.2..、Arterial Blood Gas

PH value

7.42

PaO2

74 mmHg

PaCO2

33 mmHg

BE

-3.5 mmol/L

SaO2

94.80 %

Blood Lactic Acid Concentration

1.4 mmol/L

Oxygenation index (PaO2/FiO2)

185.00 mmHg

4.2..、Venous Blood Gas

PH value

7.4

PcvO2

40 mmHg

PcvCO2

36 mmHg

BE

-3.7 mmol/L

ScvO2

71.00 %

3..Vasoactive Agent and Fluid

Volume of input

1717 ml

Volume of output

1485 ml

Volume of urine

1200 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

0.92 mg

Dopamine Dosage

30 mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

no

4..PiCCO Parameters

CVP

7 mmHg

cardiac output

5.56 L/min

cardiac index

3.79 L/min/m2

stroke volume

70 ml

Stroke Index

48 ml/m2

ITBVI

1155 ml/m2

GEDVI

924 ml/m2

EVLWI

9 ml/kg

PVPI

1.2

SVRI

2159 DSm2/cm5

CFI

4.1

GEF

20.00 %

SVV

3.00 %

PPV

3 %

dPmax

1248

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

0

LUS

0

B+ Zone

7..Inferior Vena Cava
4.7..1、

IVC(inspiratory phase)

27.4 mm

IVC(expiratory phase)

19.5 mm

Respiratory variations of inferior vena cavae diameter

33.69 %

4.7..2、

mm

mm

mm

mm

5.T24
1.Vital Signs

Temperature

36.6

Heart Rate

98 次/分

Breath

22 次/分

Systolic Pressure

141 mmHg

Diastolic Pressure

68 mmHg

Mean Arterial Pressure

98 mmHg

2.Blood Gas Analysis

Pcv-aCO2

1.00 mmHg

DO2

706.54

VO2

142.07

Ca-vO2

23.94

5.2.、Arterial Blood Gas

PH value

7.37

PaO2

108 mmHg

PaCO2

18 mmHg

BE

-14.1 mmol/L

SaO2

97.70 %

Blood Lactic Acid Concentration

1.3 mmol/L

Oxygenation index (PaO2/FiO2)

270.00 mmHg

5.2.、Venous Blood Gas

PH value

7.38

PcvO2

49 mmHg

PcvCO2

19 mmHg

BE

-14 mmol/L

ScvO2

78.00 %

3.Vasoactive Agent and Fluid

Volume of input

3684 ml

Volume of output

2250 ml

Volume of urine

1800 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

0.92 mg

Dopamine Dosage

30 mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

no

4.PiCCO Parameters

CVP

9 mmHg

cardiac output

5.98 L/min

cardiac index

4.08 L/min/m2

stroke volume

71 ml

Stroke Index

48 ml/m2

ITBVI

1138 ml/m2

GEDVI

910 ml/m2

EVLWI

8 ml/kg

PVPI

1.1

SVRI

1760 DSm2/cm5

CFI

4.5

GEF

21.00 %

SVV

3.00 %

PPV

3 %

dPmax

1073

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

0

LUS

0

B+ Zone

7.Inferior Vena Cava
5.7.1、

IVC(inspiratory phase)

27.5 mm

IVC(expiratory phase)

19.8 mm

Respiratory variations of inferior vena cavae diameter

32.56 %

5.7.2、

mm

mm

mm

mm

6.T48
1.Vital Signs

Temperature

36.8

Heart Rate

86 次/分

Breath

19 次/分

Systolic Pressure

143 mmHg

Diastolic Pressure

65 mmHg

Mean Arterial Pressure

91 mmHg

2.Blood Gas Analysis

Pcv-aCO2

5.00 mmHg

DO2

759.82

VO2

155.73

Ca-vO2

26.78

6.2.、Arterial Blood Gas

PH value

7.43

PaO2

87 mmHg

PaCO2

33 mmHg

BE

-2.2 mmol/L

SaO2

96.9 %

Blood Lactic Acid Concentration

2.5 mmol/L

Oxygenation index (PaO2/FiO2)

263.64 mmHg

6.2.、Venous Blood Gas

PH value

7.4

PcvO2

48 mmHg

PcvCO2

38 mmHg

BE

-2.3 mmol/L

ScvO2

77.00 %

3.Vasoactive Agent and Fluid

Volume of input

6373 ml

Volume of output

3840 ml

Volume of urine

3050 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

0.92 mg

Dopamine Dosage

30 mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

no

4.PiCCO Parameters

CVP

8 mmHg

cardiac output

5.84 L/min

cardiac index

3.98 L/min/m2

stroke volume

69 ml

Stroke Index

49 ml/m2

ITBVI

1145 ml/m2

GEDVI

920 ml/m2

EVLWI

8 ml/kg

PVPI

1.1

SVRI

1860 DSm2/cm5

CFI

4.3

GEF

21.00 %

SVV

4.00 %

PPV

3 %

dPmax

1123

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

0

LUS

0

B+ Zone

7.Inferior Vena Cava
6.7.1、

IVC(inspiratory phase)

27.4 mm

IVC(expiratory phase)

19.5 mm

Respiratory variations of inferior vena cavae diameter

33.69 %

6.7.2、

mm

mm

mm

mm

7.T72
1.Vital Signs

Temperature

36.5

Heart Rate

91 次/分

Breath

19 次/分

Systolic Pressure

138 mmHg

Diastolic Pressure

69 mmHg

Mean Arterial Pressure

92 mmHg

2.Blood Gas Analysis

Pcv-aCO2

2.00 mmHg

DO2

791.92

VO2

138.51

Ca-vO2

24.74

7.2.、Arterial Blood Gas

PH value

7.46

PaO2

94 mmHg

PaCO2

34 mmHg

BE

-0.1 mmol/L

SaO2

97.00 %

Blood Lactic Acid Concentration

1.9 mmol/L

Oxygenation index (PaO2/FiO2)

284.85 mmHg

7.2.、Venous Blood Gas

PH value

7.45

PcvO2

49 mmHg

PcvCO2

36 mmHg

BE

-0.1 mmol/L

ScvO2

80.00 %

3.Vasoactive Agent and Fluid

Volume of input

8873 ml

Volume of output

5640 ml

Volume of urine

4650 ml

Ultrafiltration Volume

0 ml

Norepinephrine Dosage

0.92 mg

Dopamine Dosage

30 mg

Epinephrine Dosage

mg

Pituitrin Dosage

U

Dobutamine Dosage

mg

Milrinone Dosage

mg

Levosimendan

no

4.PiCCO Parameters

CVP

8 mmHg

cardiac output

5.63 L/min

cardiac index

3.87 L/min/m2

stroke volume

70 ml

Stroke Index

48 ml/m2

ITBVI

1089 ml/m2

GEDVI

860 ml/m2

EVLWI

8 ml/kg

PVPI

1.2

SVRI

1753 DSm2/cm5

CFI

4.4

GEF

22.00 %

SVV

4.00 %

PPV

3 %

dPmax

1208

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

0

LUS

0

B+ Zone

7.Inferior Vena Cava
7.7.1、

IVC(expiratory phase)

27.2 mm

Respiratory variations of inferior vena cavae diameter

19.5 %

IVC(inspiratory phase)

32.98 mm

7.7.2、

mm

mm

mm

mm

8.Day 1
1.Cardiac Function Indices

NT-proBNP

pg/ml

BNP

194 pg/ml

cTNI

0.225 ng/ml

Creatine kinase isoenzyme, CKMB

2.7 U/L

2.Renel Function Indices

Creatinine

51 umol/L

Urea nitrogen

7 mmol/l

MDRD

ml/min/1.73m2

Date of examination

yyyy-mm-dd

3.Blood Routine Tests

WBC

17.3 X10*9/L

neutrophilic granulocyte percentage

95.4 %

Hb

g/L

CRP

129 mg/L

Procalcitonin, PCT

1.6 ng/ml

Date of test

4.Sequential Organ Failure Assessment

Sequential Organ Failure Assessment

7

9.Day 2
1.Cardiac Function Indices

NT-proBNP

pg/ml

BNP

697 pg/ml

cTNI

1.79 ng/ml

Creatine kinase isoenzyme, CKMB

5.4 U/L

2.Renel Function Indices

Creatinine

42 umol/L

Urea nitrogen

7.5 mmol/l

MDRD

ml/min/1.73m2

3.Blood Routine Tests

WBC

9.4 X10*9/L

neutrophilic granulocyte percentage

95.6 %

Hb

g/L

CRP

126 mg/L

Procalcitonin, PCT

1.32 ng/ml

4.Sequential Organ Failure Assessment

Sequential Organ Failure Assessment

2

10.Day 3
1.Cardiac Function Indices

NT-proBNP

pg/ml

BNP

914 pg/ml

cTNI

1.12 ng/ml

Creatine kinase isoenzyme, CKMB

2.7 U/L

2.Renel Function Indices

Creatinine

40 umol/L

Urea nitrogen

9.6 mmol/L

MDRD

ml/min/1.73m2

3.Blood Routine Tests

WBC

8.2 X10*9/L

neutrophilic granulocyte percentage

94.6 %

Hb

g/L

CRP

101 mg/L

Procalcitonin, PCT

1.4 ng/ml

4.Sequential Organ Failure Assessment

Sequential Organ Failure Assessment

2

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

discharge

28-day mortality

no

survival time(day)

death time

yyyy/mm/dd

diagnosis of death

length of stay

24

duration in ICU

4

duration of mechanical ventilation

48 小时

ICU expenses

Continuous Renal Replacement Therapy

no

Continuous Renal Replacement Therapy

小时