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休克的病理生理学

Physiopathology of shock.

作者信息

Bonanno Fabrizio Giuseppe

机构信息

Chris Hani Baragwanath Hospital, Johannesburg, South Africa.

出版信息

J Emerg Trauma Shock. 2011 Apr;4(2):222-32. doi: 10.4103/0974-2700.82210.

Abstract

SHOCK SYNDROMES ARE OF THREE TYPES

cardiogenic, hemorrhagic and inflammatory. Hemorrhagic shock has its initial deranged macro-hemodynamic variables in the blood volume and venous return. In cardiogenic shock there is a primary pump failure that has cardiac output/mean arterial pressure as initial deranged variables. In Inflammatory Shock it is the microcirculation that is mainly affected, while the initial deranged macrocirculation variable is the total peripheral resistance hit by systemic inflammatory response.

摘要

休克综合征有三种类型

心源性、失血性和炎症性。失血性休克最初血液动力学的紊乱主要体现在血容量和静脉回心血量方面。心源性休克主要是心脏泵功能衰竭,心输出量/平均动脉压是最初出现紊乱的变量。在炎症性休克中,主要受影响的是微循环,而最初出现紊乱的大循环变量是全身炎症反应导致的总外周阻力。

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