重症甲型H1NI流感早期诊断和救治_东南大学附属中大医院.pptVIP

Antibiotics Infection Virus Bacteria Fungus ICU resource 糖皮质激素明显改善呼吸和循环功能 P=0.04 P=0.02 P=0.02 Outcome vs Steroid at ARDS onset 7-13d vs 14d 液体治疗与肺水肿 Qf = Kf [(Pc-PIF) – ?(?c- ?IF)] 影响肺水肿的主要因素Starling equation 静水压对肺水肿的影响 Circ Res 1959, 7: 649-57 通透性 vs 肺静水压 对肺水肿的影响 Relationship between pulmonary hydrostatic pressure and lung edema formation under normal conditions and increased permeability Chest 2007;131;913-920 Increased EVLW has been associated with poor outcome in ARDS pats Reduction in PCWP associated with increased survival in ARDS pats increased edema decreased vital organ perfus