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[食物中毒患者的低血容量性休克与微循环状态]

[Hypovolemic shock and the state of microcirculation in patients with food poisoning].

作者信息

Rashchinskiĭ M I

出版信息

Ter Arkh. 1986;58(10):51-4.

PMID:3798348
Abstract

Study of microcirculation in 56 patients with an extremely grave course of food toxoinfections attended by hypovolemic shock and dehydration, stage III-IV, has demonstrated pronounced microcirculatory disorders that manifested in abnormal microvascular tone, diminution of the number of the functioning capillaries, high drop of the blood via the arteriovenous shunts, stagnation of the blood flow and development of metabolic acidosis. Pathogenetic treatment with the polyionic solutions Kvartasol and Trisol in a dose of 70 to 100 ml/kg at a rate of up to 1 ml/kg per minute arrested the microcirculatory disorders and rapidly improved the patients' well-being.

摘要

对56例患有极其严重的食物中毒感染病程、伴有低血容量性休克和脱水(III-IV期)的患者进行的微循环研究表明,存在明显的微循环障碍,表现为微血管张力异常、功能正常的毛细血管数量减少、通过动静脉分流的血液大量下降、血流停滞以及代谢性酸中毒的发展。用Kvartasol和Trisol等多离子溶液以70至100 ml/kg的剂量、每分钟高达1 ml/kg的速度进行病因治疗,阻止了微循环障碍并迅速改善了患者的状况。

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