本例感染性休克患者同时合并基础心脏疾病，液体复苏对血流动力学的支持可能会造成呼吸功能的进一步下降。在诊断、监测及治疗的过程中，以血流动力学为导向的重症超声的监测评估为治疗的方向和治疗强度的把握提供了实时、动态、准确的依据。也为个体化血流动力学治疗，提供了方向。在血流动力学导向的治疗指导下患者康复痊愈。

For this septic shock patient combine with chronic heart diseas, fluid resuscitation may lead to reduce respiratory function. During the process of diagnosis, monitoring and treatment, hemodynamic guided critical care ultrasound monitoring provides a real-time, dynamic and accurate data for the direction of management. It also provides the information for individualized hemodynamic treatment. This patient recovered after hemodynamic monitoring guided management.