Epishin A V, Chernets T Iu, Okhrimenko I N, Golik E Iu
Vrach Delo. 1991 Sep(9):70-3.
An analysis of case records, medical documentation of the emergency service and out-patient departments of 629 patients with acute pneumonia (AP) showed that infectious-toxic shock was an early grave complication of acute pneumonia. It was observed in 9.4% of patients with acute pneumonia and resulted in a fatal outcome in 5.1%. Infectious-toxic shock developed prevalently in males of young or middle age suffering of concomitant diseases in acute pneumonia due to viral-bacterial associations. At the pre-hospital period shock was detected only in 5.1% of patients due to inadequate examination, underestimation of symptoms and their erroneous interpretation. Clinical manifestations of infectious-toxic shock, their polymorphism may masquerade acute pneumonia symptoms and lead to diagnostic errors.
对629例急性肺炎（AP）患者的病例记录、急救服务和门诊的医学文档进行分析后发现，感染性中毒性休克是急性肺炎的一种早期严重并发症。在9.4%的急性肺炎患者中观察到了该并发症，其中5.1%导致了致命后果。感染性中毒性休克在患有急性肺炎合并症的中青年男性中更为常见，这些合并症是由病毒 - 细菌联合感染引起的。在院前阶段，由于检查不充分、对症状的低估及其错误解读，仅在5.1%的患者中检测到休克。感染性中毒性休克的临床表现及其多态性可能会掩盖急性肺炎的症状并导致诊断错误。
