Department of Critical Care Medicine, Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA.
Pediatr Clin North Am. 2013 Jun;60(3):641-54. doi: 10.1016/j.pcl.2013.02.013. Epub 2013 Mar 29.
Early recognition and treatment of pediatric shock, regardless of cause, decreases mortality and improves outcome. In addition to the conventional parameters (eg, heart rate, systolic blood pressure, urine output, and central venous pressure), biomarkers and noninvasive methods of measuring cardiac output are available to monitor and treat shock. This article emphasizes how fluid resuscitation is the cornerstone of shock resuscitation, although the choice and amount of fluid may vary based on the cause of shock. Other emerging treatments for shock (ie, temperature control, extracorporeal membrane oxygenation/ventricular assist devices) are also discussed.
早期识别和治疗儿科休克，无论病因如何，都可降低死亡率并改善预后。除了常规参数（如心率、收缩压、尿量和中心静脉压）外，还有生物标志物和非侵入性心输出量测量方法可用于监测和治疗休克。本文强调了液体复苏如何是休克复苏的基石，尽管根据休克的原因，选择和量的液体可能会有所不同。还讨论了休克的其他新兴治疗方法（即体温控制、体外膜氧合/心室辅助设备）。
