综合症及监护.docVIP

MSOF综合症及监护 Sequential organ dysfunction after emergency disease,MODS Clinical behavior Delayed Sequential Reversible MODS Excessive inflammatory mediators 1.Direct injury of ischemia Hypersensibitity in heart and brain Selective ischemia Endothelial cell injury leads to high vascular permeability and low volume uncontrolled stress 2.Differentiation Diagnosis with prerenal ARF Treatmen of ARDS Maintain Circulation and lung interstitial edema Proper crystal/colloid rate Diuretic Negative water balance (according to CVP/PAWP , urine output and lung auscultation) Treatmen of ARDS Prevent an