新生儿休克的诊断和治疗

来源 :国外医学(儿科学分册) | 被引量 : 0次 | 上传用户:genersoft
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一、休克的定义休克是由于各种原因使整个机体重要器官处于循环功能不全的状态。在细胞水平上,不能充分利用氧,引起各个脏器功能不全,甚至最终达到死亡状态。二、休克的基本病理休克的基本病理是心搏出量下降造成循环障碍,外周微循环障碍,引起休克脏器的血流灌流不足。由于组织还流不全,组织缺血,细胞变为低氧血症和酸中毒,无氧酵解占优势,更加重酸中毒,引起血管内皮细胞障碍,纤溶亢进,再加上组织缺 First, the definition of shock Shock is due to various reasons so that the vital organs of the entire body in a circulatory insufficiency state. At the cellular level, can not make full use of oxygen, causing various organ dysfunction, and even eventually to death. Second, the basic pathology of shock The basic pathology of shock is the decrease in cardiac output caused by circulatory disorders, peripheral microcirculation, causing insufficient blood perfusion in shock organs. As the organization also incomplete, tissue ischemia, cells become hypoxemia and acidosis, anaerobic glycolysis dominated, more severe acidosis, causing endothelial cell disorders, hyperfibrinolysis, coupled with tissue defects
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