休克:病理生理、分期、分类和治疗

Gudisa Bereda
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引用次数: 0

摘要

休克是由于组织灌注减少而导致多个重要机体工作缩进的一种状态。这种情况可能会威胁生命。休克的进行性阶段意味着代偿机制失效,机体代偿机制减弱以支持组织灌注。低血容量性休克是由血管内容量破坏引起的器官灌注不足的情况,通常是急性的。分布性休克是一种相对低血容量的状态,从病理学上讲,它会扩散到其他区域的完美血管内容量,是一种更常见的休克形式。右旋糖酐相对于其他不同类型的胶体具有相当大的优点,用于初始休克治疗,这是由于其抗血栓特性,从而消除了细胞满意,并且系统循环的发生被决定性地降低了。减轻心脏负荷和疼痛的药物,如吗啡或芬太尼,可以缓解焦虑或调节心律。血管加压药物,如多巴胺、去甲肾上腺素,它们是收缩血管和辅助的药物,会升高血压。快速注射大量的静脉液体和给予药物会使血压升高从而使血液流向身体其他部位和器官。
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Shock: Pathophysiology, Stage, Classification, and Treatment
: Shock is a state of resulting from an indented state of multiple important body works owing to decreased tissue perfusion. It is a circumstance that could menace life. Progressive stage of shock means failing compensatory mechanisms and the body’s compensatory mechanisms weaken to vindicate tissue perfusion. Hypovolemic shock is a circumstance of insufficient organ perfusion caused by destruction of intravascular volume, ordinarily acute. Distributive shock is a state of comparative hypovolemia sequencing from affiliated to pathology spread to other areas of the perfect intravascular volume and is more common form of shock. Dextran has considerable merits over distinctive types of colloids for the initial shock treatment owing to its antithrombotic properties whereby cell satisfactory is obviated and the occurrence of systematic circulations is decisively de-escalated. Drugs that de-escalate the hearts workload and pain such as morphine or fentanyl relieve anxiety or regulate heart rhythm. Vasopressor medications such as dopamine, norepinephrine, which are medications that constrict blood vessels and assists, escalate blood pressure. High amount of IV fluids very quickly and bestowing medications that will escalate the blood pressure to escalate blood flow to the rest of the body and organs.
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审稿时长
16 weeks
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