上海交大外科学休克PBL__培训课件.pptVIP

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. 内脏器官损伤 休克失代偿 内脏缺血、缺氧 内脏血管内皮细胞受损 全身炎症反应综合征 MODS 内脏器官的继发性损害 ⒈肺： ⒉肾：休克时由于肾血管收缩、血流量减少、