老年人休克的临床特点(附40例临床分析)  

Clinical Characteristics of Senile Shock

作　　者：张忠杰[1] 韩丽梅[1] 王笑梅[1] 孙秀香[1] 

机构地区：[1]鸡西市人民医院,黑龙江鸡西158100

出　　处：《黑龙江医学》2006年第6期443-444,共2页Heilongjiang Medical Journal

摘　　要：目的 对40例老年休克的病人进行临床分析，寻找诊断、抢救的特点。方法 本文收集了我院1995～2005年间，以休克为主要表现的老年病人40例，研究其发病时的主要临床表现、病因分类、抢救特点及住院病死率。结果 本组休克的病因：感染中毒性休克42．5％，心源性休克30．0％，低血容量性休克20．0％，过敏性休克5．0％，休克的原发病症状多不典型，病情进展快、并发症多、预后差、病死率高为60．5％。结论 早期认识和掌握老年人休克的临床特点是抢救成功的基础，正确恰当的治疗病因及合并症是抢救的关键。Objective To discuss the characteristics of diagnosis and emergency treannent of senile shock. Methods The materials of 40 cases of senile shock patient from 1995 to 2005 in clinical manifestation, etiology, emergency treannent and mortality were studied. Results The etiology of senile shock was infective shock in 42.5%, cardiac shock in 30.0%, hypovolemic shock in 20.0% and allergic shock in 5. 0%. The shock symptom of primary disease was not typical with progressive, more complication, bad prognosis and high mortality （60.5%）. Conclusion The early recognition and mastering characteristics of senile shock might be good bases and proper treannent for etiology and complication might be key point.

关 键 词：休克 老年人 抢救 

分 类 号：R541.6[医药卫生—心血管疾病]