重庆医科大学危重病医学.pdf

重庆医科大学危重病医学.pdf

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SIRS?

3?

T38?

90?

/min?

R20?

/min?

WBC12109/L?

8180-218180-217575-409494-828787-6060PaCO24545?

1/2?

1214cm?

2/3?

or?

Allen?

7s?

CVP?

510cmH2O?

CVP1520mm?

（?

）?

（?

）CO?

（?

）?

FLOTrac/Vigileo?

（?

）?

PWCP?

CVP?

LVEDV?

LVEDP?

40mmHg20mmHg?

PaCO2?

PaO2?

CVP?

（?

）?

BIS?

85100?

6085?

4065?

40Ps:

50?

BT?

CFT（?

）?

BPC?

4?

PF4（?

Plt?

）?

PT（?

）?

KPTT（?

）?

ACT（?

）?

Fg（?

）?

TCT?

3Ptest?

FDP?

TEGDIC?

3?

（Plt100109/L）?

（Fg20mg/L?

AT-III?

DIC?

DIC?

（?

）?

（?

）?

（?

）?

（?

）?

CMV?

AMV?

/?

A/C?

AMV?

CMV?

AMC?

CMV?

EIP?

CMV?

（0.33s）?

15%?

IMV?

CMV?

SIMV?

A/C?

CMV?

25%?

AMV?

CMV?

PEEP?

HFV?

PETCO2?

（I:

E）?

1?

2?

2.5?

（paw）?

paw?

1520cmH2O?

1215cmH2O?

（FiO2）?

0.7+24h?

Vt?

PEEP?

PEEP?

1?

（?

）?

2?

3?

（?

）?

Pmv?

Ppmv?

mv?

pmv?

24h?

/?

X?

ECMO?

ALI?

PaO2/FiO2300mmHg?

18mmHg?

CI30mmHg?

100?

/min?

30mmHg?

4065mmHg?

70%?

0.5ml/（kgh）?

1?

2?

3?

4?

（?

）?

GFR?

1?

2?

Hb?

6.5mmol/L?

4?

28.56mmol/L?

10.7mmol/L?

2?

RRT?

CRRT1?

24h?

24h?

2?

3?

SIRS?

MODS?

ARDS?

1?

8?

2?

3?

4?

272340umol/L?

5?

1?

2?

3?

T39C?

P160?

/min?

4?

TH?

TH?

（ATD?

）?

TH?

1?

2?

（0.1U/kg/h）?

2?

SIRS?

T?

P?

R?

WBC?

DIC?

CPR?

5cm?

100?

/min?

30:

2?

5?

CPR?

BLS?

ALS?

BLS?

ICU?