关注危重病人液体平衡.pptVIP

关注危重病人液体平衡徐颖鹤目录EGDT提高抢救成功率液体超负荷增加危重病人死亡率CVP监测能准确指导液体复苏吗？白蛋白用于液体复苏新观点EarlyGoal-DirectedTherapy(EGDT):involvesadjustmentsofcardiacpreload,afterload,andcontractilitytobalanceO2deliverywithO2demandStudypurpose:toevaluatetheefficacyofearlygoal-directedtherapyinpatientspresentingtoanemergencydepartmentwithseveresepsisorsepticshock(priortoICUadmission)Studydesign:prospective,randomizedcontrolled,partiallyblinded,singlecentertrialEarlyGoal-DirectedTherapyEarlyGoal-DirectedTherapyResults:

28DayMortality结论1、CVP与血容量之间相关性很低2、CVP或者