麻醉术中监测进展ppt课件.pptVIP

EVLW PiCCO 的特有参数, 是对肺水监测的重要指标 EVLW 指肺组织内液体的容量, 提示何时补充容量不再有利 EVLW准确性 △ EVLW 肺泡灌注量 采用定量生理盐水对肺水清除障碍ARDS犬模型进行支气管肺 泡灌注，测定灌注前后EVLW变化。 45 血管外肺水与氧合 46 Martin GS, Eaton S, Mealer M, Moss M. Extravascular lung water in patients with severe sepsis: a prospective cohort study. Crit Care 2005; 9: R74-R82 (DOI 10.1186/cc3025) 血管外肺水与病死率 47 Sturm, In: Practical Applications of Fiberoptics in Critical Care Monitoring, Springer Verlag Berlin - Heidelberg - NewYork 1990, pp 129-139 * * 加强肺水管理—减少肺水 n=101 22 days 15 days 9 days 7 days RHC group RHC group EVLW group EVLW group Ventilation days ICU ddays 998, Afte