重视严重多发伤后早期多因型休克的临床诊治  

Multifactorial shock in the early phase afteRpolytrauma:keep in mind the diagnosis and management principles

作　　者：董黎明 罗家柳 唐朝晖[1] Dong Liming;Luo Jialiu;Tang Zhaohui(Department of Traumatic Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院创伤外科,武汉430030

出　　处：《创伤外科杂志》2024年第8期561-565,共5页Journal of Traumatic Surgery

基　　金：国家自然科学基金(81873870)。

摘　　要：多因型休克指患者伴发的休克可归因于两种及以上的不同休克类型,其在严重多发伤患者中并不罕见。目前对多因型休克的认识严重不足,一旦漏诊将导致严重不良后果。严重多发伤后伴发多因型休克的综合救治极其复杂,目前仍缺乏相应的诊疗规范与指南,各类处置措施也常相互矛盾,临床决策充满风险与挑战。本文回顾近年多因型休克的相关文献,并结合笔者最近的相关临床研究,对多因型休克的诊断与治疗进行初步阐述,以供临床参考。Multifactorial shock,defined as experiencing more than one type of shock,is not uncommon in the early phase afteRpolytrauma.At present,ouRunderstanding of multifactorial shock remains limited,and its misdiagnosis could lead to serious adverse consequences.Comprehensive management of multifactorial shock in polytrauma patients is extremely complex,and there is still a lack of guidelines foRthe diagnosis and treatment of multifactorial shock.The available treatment options often present conflicting perspectives,resulting in various risks and challenges in clinical decision making.In this paper,we provide a preliminary exposition on the diagnosis and treatment of multifactorial shock based on the latest published literature and ouRrecent clinical research.

关 键 词：多发伤 多因型休克 诊断 治疗 

分 类 号：R605.971[医药卫生—急诊医学]