血液净化中的容量管理.pptVIP

前瞻性随机对照研究：263例患者130例接受EGDT，133例常规治疗，结果：前者病死率30.5%，后者46.5%，在同期两组APACHEⅡ分别为13.0±6.3和15.9±6.4。前者平均住院日缩短3.8天，心血管事件比率下降50%。 The importance of fluid management in Acute lung injury secondary to septic shock Chest.2009;136:102-109 The study cohort was made up of 212 patients with ALI complicating septic shock. Adequate initial fluid resuscitation (AIFR) was defined as the administration of an initial fluid bolus of 20 mL/kg prior to and achievement of a CVP 8 mm Hg within 6 h after the onset of therapy with vasopressors. Conservative late fluid management (CLFM) was defined as even-to negative fl