Singh Daljit, Chopra Atul, Pooni Puneet Aulakh, Bhatia R C
Department of Pediatrics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Indian Pediatr. 2006 Jul;43(7):619-23.
This prospective study was conducted to determine the frequency, etiology, type and outcome of shock in hospitalized children in the age group of 1 month to 15 years. There were 98 cases of shock, constituting 4.3% out of total admissions. Mean age was 2.8 +/-3.4 years. Maximum number of patients (39) was seen in infancy. Hypovolemic shock due to acute diarrheal disease was the commonest type (45.9%) followed by septic, cardiogenic and distributive shock. Compensated stage was common in hypovolemic shock (88.9%) whereas majority of patients with septic shock (73.5%) presented in decompensated stage. Overall survival was 73.6%. The survival rate was best in hypovolemic shock (97.7%;) followed by septic(53.3%) and cardiogenic shock(43.7%). Inotropes and ventilatory support were required in 46% and 23% patients, respectively. Diagnosis and management of shock in compensated stage carried better prognosis than in uncompensated shock irrespective of the age of the patient.
本前瞻性研究旨在确定1个月至15岁住院儿童休克的发生率、病因、类型及转归。共有98例休克病例，占总入院人数的4.3%。平均年龄为2.8±3.4岁。婴儿期患者数量最多（39例）。急性腹泻病所致低血容量性休克是最常见的类型（45.9%），其次是感染性、心源性和分布性休克。低血容量性休克代偿期常见（88.9%），而多数感染性休克患者（73.5%）处于失代偿期。总体生存率为73.6%。低血容量性休克的生存率最佳（97.7%），其次是感染性休克（53.3%）和心源性休克（43.7%）。分别有46%和23%的患者需要使用血管活性药物和通气支持。无论患者年龄如何，休克代偿期的诊断和治疗预后均优于失代偿期。
