Septic shock is a common critical condition, for which effective early fluid resuscitation is the therapeutic focus. According to the 2008 international guidelines for management of severe sepsis and septic shock, res...Septic shock is a common critical condition, for which effective early fluid resuscitation is the therapeutic focus. According to the 2008 international guidelines for management of severe sepsis and septic shock, resuscitation should achieve a central venous pressure (CVP) of 8-12 mmHg within the first 6 h. However, it is still uncertain about the sensitivity and specificity of CVP in reflecting the cardiac preload. Ultrasonography is a simple, rapid, non-invasive, and repeatable method for the measurement of sensitivity and specificity of CVP and has thus gradually attracted the increasing attention of physicians. It was reported that ultrasonography can show the inferior vena cava diameter, respiratory variability index, and blood volume in patients with sepsis or heart failure.展开更多
By using the monthly average dataset of NCEP/NCAR reanalysis and the monthly average ocean temperature data of NOAA satellite center,we analyzed and probed into the relationship between Siberian high anomaly and SSTA,...By using the monthly average dataset of NCEP/NCAR reanalysis and the monthly average ocean temperature data of NOAA satellite center,we analyzed and probed into the relationship between Siberian high anomaly and SSTA,and found that the sea area anomaly is a bigger area,which have greater effect on the variation of Siberian high.The results indicated that there was a wonderful contemporaneously correlation between the area and intensity index of Siberian high and ocean temperature.The correlation type of the synchronous correlative areas between the central intensity index of Siberian high and ocean temperature have structural similarities with the correlative field's structure of area index,but the positive correlative regions expanded,and the intensity of negative correlative regions weakened significantly.The correlation among the area index of Siberian high and the central intensity index,as well as the ocean temperature anomaly of the North Atlantic during spring,autumn and summer of the same year was remarkable.The area index and the central intensity index of Siberian high anomaly have obvious correlation with the ocean temperature anomaly of Southwest Atlantic Ocean during spring,summer and autumn,however,they have apparent seasonal differences with the prominent negative correlative areas of subtropical South Indian Ocean and tropical South Pacific Ocean as well as Southwest Atlantic Ocean.The correlative index of area anomaly is greater than those of intensity anomaly.Larger impact on the variability of Siberian high anomaly are the SSTA of subtropical South Indian Ocean,mid and high latitudes of North Pacific Ocean,North Atlantic,tropical South Pacific Ocean,Southwest Atlantic Ocean,etc.several areas.展开更多
文摘Septic shock is a common critical condition, for which effective early fluid resuscitation is the therapeutic focus. According to the 2008 international guidelines for management of severe sepsis and septic shock, resuscitation should achieve a central venous pressure (CVP) of 8-12 mmHg within the first 6 h. However, it is still uncertain about the sensitivity and specificity of CVP in reflecting the cardiac preload. Ultrasonography is a simple, rapid, non-invasive, and repeatable method for the measurement of sensitivity and specificity of CVP and has thus gradually attracted the increasing attention of physicians. It was reported that ultrasonography can show the inferior vena cava diameter, respiratory variability index, and blood volume in patients with sepsis or heart failure.
文摘By using the monthly average dataset of NCEP/NCAR reanalysis and the monthly average ocean temperature data of NOAA satellite center,we analyzed and probed into the relationship between Siberian high anomaly and SSTA,and found that the sea area anomaly is a bigger area,which have greater effect on the variation of Siberian high.The results indicated that there was a wonderful contemporaneously correlation between the area and intensity index of Siberian high and ocean temperature.The correlation type of the synchronous correlative areas between the central intensity index of Siberian high and ocean temperature have structural similarities with the correlative field's structure of area index,but the positive correlative regions expanded,and the intensity of negative correlative regions weakened significantly.The correlation among the area index of Siberian high and the central intensity index,as well as the ocean temperature anomaly of the North Atlantic during spring,autumn and summer of the same year was remarkable.The area index and the central intensity index of Siberian high anomaly have obvious correlation with the ocean temperature anomaly of Southwest Atlantic Ocean during spring,summer and autumn,however,they have apparent seasonal differences with the prominent negative correlative areas of subtropical South Indian Ocean and tropical South Pacific Ocean as well as Southwest Atlantic Ocean.The correlative index of area anomaly is greater than those of intensity anomaly.Larger impact on the variability of Siberian high anomaly are the SSTA of subtropical South Indian Ocean,mid and high latitudes of North Pacific Ocean,North Atlantic,tropical South Pacific Ocean,Southwest Atlantic Ocean,etc.several areas.