急诊医学教学课件:Multiple organ dysfunction syndrome.pptx

急诊医学教学课件:Multiple organ dysfunction syndrome.pptx

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南 京 医 科 大 学 第 二 临 床 医 学 院 The department of critical care medicine ;I’m bleeding after just having my baby;Questions;Diagnosis;Q1.What do you want to do now? Basic life support;;High quality CPR;Case;Q2.What do you want to do next? Advanced life support in ICU;;Nervous;Cardiovascular;Respiratory;Gastric and intestinal;Renal; Hematologic;Outline;;;Aortic aneurysm;sequential systems failure ;How much is one plus one?;Terminologies: ;Definition*;;;Etiology;;;MODS :complex interaction of different pathogenic processes.;3.Pathogenesis;3.1.1 inflammatory response;Inflammation;;Associated terminologies;Associated terminologies;Systemic inflammatory response syndrome(SIRS)***;;Sepsis 3.0 2016;;organ dysfunction;Sequential Organ Failure Assessment (SOFA) score;Glasgow coma scale;quickSOFA (qSOFA) ***;;;Septic shock* ;MODS and MOF;3.1.2 free radicals;3.1.3 Gut;;Autointoxication?;3.2’two-hit’hypothesis;3.3 SIRS and CARS;SIRS and CARS;;Clinical Manifestations;4.1 Nervous ;4.2 Cardiovascular;Direct Invasive Blood Pressure Measurement;Pulmonary Artery Catheters;4.3 Respiratory;;4.4 Gastric and intestines;4.5 Renal;;4.6 Hepatic;;4.7 Hematologic;;;4.8 Infection;Features of MODS;Course of MODS;;;;organ dysfunction;Sequential Organ Failure Assessment (SOFA) score;;6.Treatment;6.0 Organ Replacement therapy;;;;6.1Treat the primary disease;6.2Oxygen metabolism;;6.3 Metabolism support;;6.4 Immune support;;7.Prognosis;Prevention**;Key points;;Sequential Organ Failure Assessment (SOFA) score;Glasgow coma scale;quickSOFA (qSOFA) ***;;;

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