容量复苏与容反应性评估.pptVIP

不能准确的评价和预测液体反应性 * 严重脓毒症和感染性休克 集束化治疗 Proportion of study participants receiving fluid resuscitation according to the number of days in the ICU. Finfer et al. Resuscitation fluid use in critically ill adults: an international cross-sectional study in 391 intensive care units. Critical Care 2010, 14:R185 Finfer et al. Resuscitation fluid use in critically ill adults: an international cross-sectional study in 391 intensive care units. Critical Care 2010, 14:R185 复苏液体 ：晶体液与 胶体液 EGDT Rivers, NEJM 2001; 345: 1368 修正的EGDT方案 液体复苏反应性 降低氧耗 血管活性药物撤离试验 血管活性药物撤离实验 目标导向性液体治疗 复苏评估指标进展 CaO2(血氧含量) HR SaO2 前负荷