院前770例内科急症休克分析  

Pre-hospital shock due to internal emergency:Analysis of 770 cases

作　　者：张成林[1] 付锡林[1] 

机构地区：[1]广州军区广州总医院急诊科,510010

出　　处：《中国危重病急救医学》1993年第1期20-23,共4页Chinese Critical Care Medicine

摘　　要：休克是急诊中常见急危重症,本资料显示急症休克以感染性休克、低血容量性休克及心源性休克为主,过敏性休克、药物中毒性休克及其他疾病休克占有不同比例。主要病因为肺部感染、中毒型菌痢、上消化道出血、宫外孕破裂出血、急性心肌梗塞及严重心律失常。部分疾病(老年人肺炎休克,少儿肺炎休克及中毒型菌痢,宫外孕破裂出血等)临床表现不典型,应予重视。某些检查方法(肛拭子采便镜检等)不宜忽视。死亡与疾病本身(如急性心梗并心源性休克)、年龄(老年人休克)有显著关系。加强院前抢救(包括山诊抢救),提高人们防病治病知识,对降低急症休克院前死亡有较重要意义。Shock is the most commonly seen critical andemergent disease entity.Our data show that septicshock,hypovolemic shock and cardiogenic shock arethe main types of shock.The other types of shock areanaphylactoid shock,shock due to drug poisoning andvarious diseases.The main causes of shock arepulmonary infection,toxic bacillary dysentery,upperdigestive tra(?)t bleeding,bleeding due to rupturedextrauterine pregnancy,acute myocardial infarctionand severe arrhythmia,Attention should be paid tothe fact that the clinical manifestation of shock may beatypical in some diseases,such as shock caused bypneumonia in the aged and the young children,toxicbacillary dysentery and bleeding due to rupturedextrauterine pregnancy.In this case,some examina-tions such as anal swab for microscopical inspectionshould not be neglected,Death significanty correlateswith the disease itself(such as acute myocardialinfarction associated with cardiogenic shock)and age(such as shock in the aged),which should be seriouslydealt with.Pre-hospital intensive emergency treat-ment(including home visit emergency treatment),in-creasing the people′s knowledge of preventing andtreating diseases are very important in-decreasing thepre-hospital death due to shock.

关 键 词：休克 急症 

分 类 号：R441.9[医药卫生—诊断学]