Extravascular lung water in applied research and clinical value of.docVIP

 PAGE \* MERGEFORMAT 3 Extravascular lung water in applied research and clinical value of Extravascular lung water in the formation and measurement of extravascular lung water (EVLW) is distributed in the pulmonary extravascular fluid, consists of three parts: the intracellular fluid, interstitial fluid, alveolar fluid. The liquid is filtered out by the blood vessels the amount of space into the organization, from within the pulmonary capillary hydrostatic pressure, pulmonary interstitial hydrostatic pressure, pulmonary capillary colloid osmotic pressure and interstitial colloid osmotic pressure determined by the [1]. EVLW = K * [(pulmonary capillary hydrostatic pressure - pulmonary interstitial hydrostatic pressure) - (pulmonary capillary colloid osmotic pressure - pulmonary interstitial colloid osmotic pressure)], K for the capillary filtration coefficient. EVLW arising primarily from the respiratory bronchioles, alveolar epithelium, and associated alveoli by alveolar filter out and entered the lymphatic system, or by lung tissue clearance suction power to make a certain amount of liquid into the lung clearance, as well as in part through the pleural effusion or respiratory secretions discharged. Any causes pulmonary capillary filter out too much or obstruction will cause the liquid discharged EVLW increased, leading to pulmonary edema, more than two times the EVLW will affect the gas diffusion and lung function, there’s signs and symptoms of pulmonary edema. Indexation of their clinical value of regular (EVLWI) said that the normal range is 3.0-7.0ml/kg, greater than 7.0, when prompted to have the amount of pulmonary edema or fluid overload. With the PICCO technology to save cost and time, simple operation and less damage advantages of the development of EVLW measurement has become a monitoring volume load and a reliable indicator of prognosis. EVLW early measurements in 1954, Chinard and Enn isotope indicators for the first time the creation of live anima