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[传染病患者的急诊护理]

[Emergency care for infectious disease patients].

作者信息

Lobzin Iu V, Zubik T M, Fisun V V

出版信息

Voen Med Zh. 1997 Jan;318(1):22-31, 80.

PMID:9254465
Abstract

Urgent critical condition during acute course of infectious diseases can be developed in early terms and suddenly with fast irreversible changes in vital organs and systems. In connection with generality of pathogenesis of many groups of infectious diseases the critical conditions characterized by stereotyped clinical syndromes. They include infective toxic shock, infective toxic encephalopathy and cerebral hypertension, acute dehydration, acute respiratory, cardiac, hepatic, adrenal and renal insufficiency. Urgent therapeutic measures can be standardized with reference to that or other syndromes of critical conditions. In their number--prescription of glucocorticosteroids, diuretics, neuroleptics, antipyretic preparations, solutions of various applicability. Application of antimicrobic preparations and specific antitoxic serums, antimalarial preparations requires care in connection with possible development of complications of toxic or allergic character.

摘要

传染病急性期的紧急危急状况可在早期迅速出现,重要器官和系统会突然发生快速且不可逆的变化。鉴于许多组传染病发病机制的共性,危急状况具有刻板的临床综合征特征。这些综合征包括感染性中毒性休克、感染性中毒性脑病和脑高压、急性脱水、急性呼吸、心脏、肝脏、肾上腺和肾功能不全。针对危急状况的这种或那种综合征,紧急治疗措施可以标准化。其中包括使用糖皮质激素、利尿剂、抗精神病药物、解热制剂以及各种适用的溶液。由于可能出现毒性或过敏性并发症,使用抗菌制剂、特异性抗毒素血清、抗疟制剂时需要谨慎。

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