文档介绍：外科休克Shock
Term “choc”– French for “push” or impact was first published in 1743 by the physician LeDran
About myself
Name: 费健
Email: feijian@
Mobile:137-0176-9798
开始了
大家要专心啊
一个例子八大问题
A 22 year old man was driving drunk and without his seatbelt fastened when he was involved in a single-vehicle automobile accident. When attended by EMT(abbr. emergency medical technician 急诊医士) personnel, no information was available about the time of the accident. He was found agitated plaining of abdominal pain.
His airway was patent. At the scene, he was breathing at 20 per minute with a blood pressure of 90/60 and a pulse of 130. He was placed in a hard cervical collar and on a back board and transported to your emergency room. Upon arrival his vital signs are the same, with a temperature of 36oC.
His abdomen is markedly distended. His hands and feet are cold, his legs mottled. A nasogastric tube reveals green liquid. A urinary catheter reveals dark yellow urine. His hemoglobin is 7. His abdominal lavage(灌洗)reveals gross blood.
At the scene, he was breathing at 20 per minute with a blood pressure of 90/60 and a pulse of 130. Upon arrival his vital signs are the same, with a temperature of 36oC. His abdomen is markedly distended. His hands and feet are cold, his legs mottled. A nasogastric tube reveals green liquid. A urinary catheter reveals dark yellow urine. His hemoglobin is 7. His abdominal lavage(灌洗)reveals gross blood.
休克的原因和分类
按病因学分类
一、失血失液性休克:
二、创伤性休克:
三、感染性休克:
四、心源性休克:
五、过敏性休克:
六、神经源性休克:
大出血,腹泻,剧烈呕吐等
疼痛和失血
内***
大面积心肌梗死,心包填塞
青霉素,血清制剂或疫苗
高位脊髓麻醉或损伤