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[创伤性疾病休克后早期的临床特征]

[Clinical characteristics of the early postshock period in traumatic disease].

作者信息

Khudaĭberenov G S

出版信息

Vestn Khir Im I I Grek. 1979 Jun;122(6):116-9.

PMID:452284
Abstract

The clinical course of an early (up to 14 days) postshock period of traumatic disease in 112 patients, treated for a combined trauma complicated with shock, has been studied. It has been established that within first 2 days after shock more than half of the patients develop increased coagulative activity of the blood, which rises still more in the following period. Progressive anemia, connected apparently with hemopoietic depression, is characteristic of the postshock period. In the second period (3--14 days after trauma) 60% of examined patients showed hypokalemia. A great percentage of inflammatory complications is likely to be due to the decrease of the defense--adaptative mechanisms, resulting from changes of the reactivity in the injured after shock.

摘要

对112例因复合伤并发休克而接受治疗的患者创伤性疾病休克后早期(至14天)的临床病程进行了研究。已确定,在休克后的头2天内,超过一半的患者血液凝固活性增加,在随后的时期内进一步升高。进行性贫血显然与造血功能抑制有关,是休克后时期的特征。在第二个时期(创伤后3 - 14天),60%的受检患者出现低钾血症。炎症并发症的高比例很可能是由于休克后受伤者反应性变化导致防御适应机制下降所致。

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