Gaytán Becerril A, Olvera Hidalgo C, Vieto Rodríguez E E, Chávez Angeles D S, Elena Salas M
Bol Med Hosp Infant Mex. 1980 Jan-Feb;37(1):11-22.
Determination was made of cardiac output (using the stain dilution technique), gases in blood and serum lactate levels in eight infants with hypovolemic shock and sixteen with septic shock. The data were carried to indexes (values per square meter of body surface). In children with hypovolemic shock the cardiac index was 1.88 +/- 0.031/min/m,2 while in septic patients it was 4.02 +/- 1.011/min/m2. The peripheral resistances were 3,079 din/min/cm.5 in hypovolemic cases and 907 din/min in the septic. In both groups serum lactante levels rised close to 4 mM 61. Oxigen consumption was found low in hypovolemic patients and slightly high in the septic. It is concluded that our data are similar to those reported in similar studies in adults and hypodynamic shock is shown in hypovolemic patients, while hyperdynamic shock appears in septic cases.
对8名低血容量性休克婴儿和16名感染性休克婴儿进行了心输出量(采用染色稀释技术)、血液气体及血清乳酸水平的测定。数据换算成指数(每平方米体表面积的值)。低血容量性休克患儿的心指数为1.88±0.03l/min/m²,而感染性休克患儿为4.02±1.01l/min/m²。低血容量性休克患儿的外周阻力为3079达因/分钟/cm⁵,感染性休克患儿为907达因/分钟。两组患儿的血清乳酸水平均升高至接近4mM。发现低血容量性休克患儿的氧耗量较低,而感染性休克患儿的氧耗量略高。结论是,我们的数据与成人同类研究报告的数据相似,低血容量性休克患儿表现为低动力性休克,而感染性休克患儿表现为高动力性休克。