RUEDY J, DIRKS J H, CAMERON D G
Can Med Assoc J. 1963 Nov 23;89(21):1059-63.
Bacteremic shock is second in frequency only to myocardial infarction as a cause of hypotension and death in hospitalized medical patients. The clinical course is marked by fever, usually with chills, and hypotension with a full pulse and warm extremities, followed by shock, often resistant to treatment. Anticipation of this complication in patients with certain predisposing diseases or factors facilitates early recognition of the symptoms and signs of bacteremic shock and prompt treatment. Early and effective treatment of the offending infection often prevents progression of hypotension to the stage of frank vascular collapse.
在住院内科患者中,菌血症性休克作为低血压和死亡的原因,其发生频率仅次于心肌梗死。临床过程的特点是发热,通常伴有寒战,以及低血压,脉搏充实,四肢温暖,随后发展为休克,且常常对治疗有抵抗性。对患有某些易感疾病或因素的患者预测这种并发症,有助于早期识别菌血症性休克的症状和体征并及时治疗。对致病感染进行早期有效治疗通常可防止低血压发展到明显血管虚脱阶段。