【新整理】picco監(jiān)測和護(hù)理ppt課件-在線瀏覽
2024-11-20 02:10本頁面
【正文】 oracic Blood Volume，ITBV）是全心舒張末期容積（GEDV）+ 肺血管內(nèi)血液容積（PBV）,ITBV = PBV + GEDV,RAEDV,ITBV 最初用染料稀釋法得到（雙指示劑法，COLD系統(tǒng)），并顯示與通過熱稀釋法測量得到的GEDV之間存在著相關(guān)性,ITBV = 1.25 x GEDV,ITBVTD (ml),r = 0.96,ITBV = 1.25 * GEDV – 28.4 [ml],GEDV vs. ITBV in 57 intensive care patients Sakka et al, Intensive Care Med 26: 180187, 2000,血管外肺水,EVLW,ITBV,ITTV,血管外肺水（Extravascular Lung Water，EVLW）反映肺間質(zhì)內(nèi)含有的水量，通過ITTV與ITBV之差得到,ITTV = CO * MTtTDa,PTV = CO * DStTDa,ITBV = 1.25 * GEDV,EVLW = ITTV ITBV,GEDV = ITTV PTV,RAEDV,RVEDV,LAEDV,LVEDV,RAEDV,RVEDV,LAEDV,LVEDV,PTV,PTV,容量計(jì)算——小結(jié),PICCO,正常值范圍,Parameter Range Unit CI 3.0 – 5.0 l/min/m2 SVI 40 – 60 ml/m2 SVRI 1200 – 1800 dyn*s*cm5* MAP 70 – 90 mmHg GEF 25 – 35 % CFI 4.5 – 6.5 1/min HR 60 – 90 1/min GEDVI 680 – 800 ml/m2 ITBVI 850 – 1000 ml/m2 SVV ? 10 % EVLWI 3.0 – 7.0 ml/kg PVPI 1.0 – 3.0,Decision tree for hemodynamic / volumetric monitoring,CI (l/min/m2),GEDI (ml/m2) or ITBI (ml/m2),ELWI* (ml/kg) (slowly responding),3.0,3.0,700 850,700 850,700 850,700 850,ELWI* (ml/kg),GEDI (ml/m2) or ITBI (ml/m2),CFI (1/min) or GEF (%),10,10,10,10,10,10,10,10,V+,V+!,V+!,V+,Cat,Cat,OK!,V,700 850,700800 8501000,4.5 25,5.5 30,4.5 25,700800 8501000,Cat,5.5 30,700 850,700800 8501000,700800 8501000,?10,?10,?10,?10,V,V+ = volume loading (! = ca
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