Blaja C, Popescu A
Eur Urol. 1975;1(2):101-2.
The endotoxic shock in urological surgery is more frequent due to the increased incidence of the gram-negative infections. More toxic than septic it suggests the hypothesis of a generalized Sanarelli-Schwartzman hypersensitivity phenomenon with hypercoagulation and microthromboses of small vessels. The hypothesis experimentally tested hold good in most cases at the same time requiring an anti-coagulant therapy as an improving effect.
由于革兰氏阴性感染发生率增加,泌尿外科手术中的内毒素休克更为常见。它比败血症更具毒性,提示存在一种全身性的萨纳雷利-施瓦茨曼超敏反应现象,伴有小血管的高凝和微血栓形成。经实验验证的这一假说在大多数情况下成立,同时需要抗凝治疗以产生改善效果。