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本文引用的文献

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Current concepts of the inflammatory response after major trauma: an update.重大创伤后炎症反应的当前概念：最新进展
Injury. 2003 Jun;34(6):397-404. doi: 10.1016/s0020-1383(02)00416-3.
2
Diagnosis and monitoring of hemorrhagic shock during the initial resuscitation of multiple trauma patients: a review.多发伤患者初始复苏期间失血性休克的诊断与监测：综述
J Emerg Med. 2003 May;24(4):413-22. doi: 10.1016/s0736-4679(03)00042-8.
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2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference.2001年危重病医学会/欧洲重症监护医学学会/美国胸科医师学会/美国胸科学会/危重病医学学会国际脓毒症定义会议。
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Early goal-directed therapy in the treatment of severe sepsis and septic shock.早期目标导向治疗在严重脓毒症和脓毒性休克治疗中的应用
N Engl J Med. 2001 Nov 8;345(19):1368-77. doi: 10.1056/NEJMoa010307.
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Emergency department anaphylaxis: A review of 142 patients in a single year.急诊科过敏反应：一年中142例患者的回顾
J Allergy Clin Immunol. 2001 Nov;108(5):861-6. doi: 10.1067/mai.2001.119028.
6
Anaphylaxis: quintessence, quarrels, and quandaries.过敏反应：精髓、争议与困境。
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Evolution in damage control for exsanguinating penetrating abdominal injury.
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The haemodynamics of human septic shock.人类感染性休克的血流动力学
Anaesthesia. 2001 Feb;56(2):130-44. doi: 10.1046/j.1365-2044.2001.01866.x.
9
Increased survival after serious injury in patients admitted directly to critical care areas from the accident and emergency department.从急诊部门直接收治到重症监护区域的严重受伤患者的生存率提高。
Injury. 1998 Nov;29(9):697-703. doi: 10.1016/s0020-1383(98)00169-7.
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Inadequate antimicrobial treatment of infections: a risk factor for hospital mortality among critically ill patients.感染的抗菌治疗不充分：危重症患者医院死亡的一个危险因素。
Chest. 1999 Feb;115(2):462-74. doi: 10.1378/chest.115.2.462.

急诊科的重症监护：休克与循环支持

Critical care in the emergency department: shock and circulatory support.

作者信息

Graham C A, Parke T R J

机构信息

Accident and Emergency Department, Southern General Hospital, Glasgow G51 4TF, UK.

出版信息

Emerg Med J. 2005 Jan;22(1):17-21. doi: 10.1136/emj.2003.012450.

DOI:10.1136/emj.2003.012450
PMID:15611535
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1726515/
Abstract

Effective resuscitation includes the rapid identification and correction of an inadequate circulation. Shock is said to be present when systemic hypoperfusion results in severe dysfunction of the vital organs. The finding of normal haemodynamic parameters, for example blood pressure, does not exclude shock in itself. This paper reviews the pathophysiology, resuscitation, and continuing management of the patient presenting with shock to the emergency department.

摘要

有效的复苏包括迅速识别并纠正循环不足。当全身灌注不足导致重要器官严重功能障碍时，即称存在休克。例如，血压等血流动力学参数正常这一发现本身并不能排除休克。本文综述了急诊科休克患者的病理生理学、复苏及后续处理。