Wayne M A
JACEP. 1978 Mar;7(3):107-9. doi: 10.1016/s0361-1124(78)80069-0.
Based on initial success using the medical antishock trouser (MAST) suit in treating 150 patients in traumatic, hypovolemic shock in the city of Bellingham and Whatcom County, Washington, at St. Luke's Hospital, the indications for its use have been expanded to include certain types of cardiogenic shock. The rationale was based on the frequent inability to differentiate hypo-, hyper-, and normovolemia in patients in cardiogenic shock and the need for a safe, reversible fluid challenge to differentiate these conditions. Changes in the condition of 14 patients in cardiogenic shock after application of the MAST suit were evaluated. Six patients responded with improved cardiac output and blood pressure. Four had no significant change in their condition and four became worse. In all patients whose condition was unchanged or worsened, the fluid challenge was reversed by deflating the suit. Based on these preliminary findings, it would seem that extended indications exist for using the MAST suit.
基于在华盛顿州贝灵汉市和霍特科姆县圣卢克医院使用抗休克裤（MAST）套装成功治疗150例创伤性低血容量休克患者的初步经验，其使用指征已扩大到包括某些类型的心源性休克。这样做的理由是，心源性休克患者常常无法区分低血容量、高血容量和血容量正常的状态，并且需要一种安全、可逆的液体冲击试验来鉴别这些情况。对14例心源性休克患者应用MAST套装后的病情变化进行了评估。6例患者的心输出量和血压得到改善。4例患者病情无明显变化，4例患者病情恶化。在所有病情未改变或恶化的患者中，通过给套装放气逆转了液体冲击试验。基于这些初步发现，似乎MAST套装有更广泛的使用指征。
