关注危重病人液体平衡关注危重病人液体平衡徐颖鹤徐颖鹤目录目录EGDT提高抢救成功率提高抢救成功率液体超负荷增加危重病人死亡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?监测能准确指导液体复苏吗?白蛋白用于液体复苏新观点白蛋白用于液体复苏新观点Early Goal-Directed Therapy(EGDT):involves adjustments of cardiac preload,afterload,and contractility to balance O2 delivery with O2 demandChest1992;101:1644.Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic ShockRiversE,NguyenB,HavstadS,etal.Earlygoal-directedtherapyinthetreatmentofseveresepsisandsepticshock.NEJM2001;345:1368.Study purpose:to ev