08休克2（08 shock 2）.docVIP

08休克2（08 shock 2） 1. shock patients pale face, cold hands and feet, cold sweat, pulse speed, urine volume decreased, but the blood pressure remained normal. This is due to the effect of sympathetic nerve excitement and a series of vasoconstrictors, micro artery and posterior arteriole, precapillary sphincter, venous contraction, and arteriovenous anastomoses are open, microcirculation blood perfusion decreased rapidly, a state of perfusion flow, the flow was less than. Skin vascular contraction, microcirculation ischemia, resulting in pale complexion, cold hands and feet; and sympathetic nerve excitation so that sweat gland secretion increased, so cold sweat. Because the heart rate increases and the pulse pressure becomes smaller, the pulse is very fine. Because of catecholamine, the renal blood vessels are strongly contracted, and the renal microcirculation is less perfusion, and the urine volume decreases. Because the blood redistribution, can maintain the heart and brain blood flow, and to ensure its normal function, at the same time, the infusion of autologous blood transfusion can increase blood volume, with vasoconstriction, increased total peripheral resistance, maintain the blood pressure in the normal range. The progress of shock patients with oral mucosa cyanosis, cold limbs, moist, rapid pulse and weak, lower blood pressure, apathy, unresponsive. This is due to severe hypoxia, acidosis and a series of vasodilators, the role of the arterioles and precapillary sphincter relaxation, the resistance is greater than the resistance before capillary, capillary network wide open, with less flow and microcirculation in irrigation than in a state of flow, stagnant hypoxia patients cyanosis due to microcirculatory stasis; but still the sympathetic nervous excitement, secretion of sweat is much, so the limbs cold, wet. Only 20% of normal microcirculation of open capillaries, only accommodate systemic 5~10% blood shock advanced capillary network wide open, and a lot of