脓毒症休克容量治疗的起点和终点图文.pptVIP

* * Patients’ HR, MAP, and SI were measured at triage. After some therapy, they were improved. However, ScvO2 was low and Lactate was still high at this phase. Further therapy was required to improve tissue hypoxia while vital signs remained unchanged. These results further emphasize that vitals signs alone are not adequate resuscitation end points. * * 被动抬腿预测容量反应性 条件：抬高双腿床头由半坐位调至水平 优势：不受自主呼吸干扰 PPV：0.675 CI：0.937 被动抬腿试验 PLR： 预测容量反应性准确度 ?CI： 93.7% ?PP：67.5% 被动抬腿预测容量反应性的局限 优势：不受自主呼吸干扰 局限：对抬腿后回心血量不增加的患者无预测价值，如腹高压患者。抬腿引起的血流动力学改变2-3分钟内最为明显，要求快速测量心输出量或脉压变异 N31 N10 N16 N15 PLR 腹高压患者容量反应性改变 随着腹