六休克（Six shock）.docVIP

六休克（Six shock） The sixth chapter is shock Summary One definition Shock is the pathological process of ischemia, anoxia, metabolic disorder and cell damage caused by the insufficient perfusion of the microcirculation, which seriously endangers the life activities. The main clinical manifestations of disease and the temperature suddenly decreased, decreased blood pressure, heart rate, weak pulse, clammy skin, but pale mucous membranes or cyanosis, ear, nose and extremities cold, vein collapse, reduce the amount of urine or urine, unresponsive, or even coma and spiritual height. Two, the cognitive process of shock: 1. French ledran- - shock is a critical condition of circulatory and other organ failure due to a severe disorder of the central nervous system - the concept of shock for the first time. The 2.19 century Warren and Grile critically ill patients appear pale or cyanosis, cold clammy limbs, pulse fine speed, oliguria, mental apathy and hypotension from signs on the understanding of shock. 3.1960 years later, through a large number of experiments, it was recognized that the sympathetic adrenal system was strongly excited and caused microcirculatory disturbance. It was the common pathogenesis of various shocks - the microcirculation theory of shock. Three causes and classification of shock (1) reasons 1 blood loss: a variety of causes that cause a significant decrease in the total blood volume can cause hemorrhagic shock. Seen in a variety of large blood loss, and the amount of blood loss and blood loss speed. 2 trauma: extensive or severe trauma can easily cause shock. 3 burns: severe burns in large areas can result in shock easily due to a large amount of plasma exudation. 4 infection: severe infection, such as G- infection, is prone to shock. 5 heart disease: such as myocardial infarction, acute myocarditis, death, and so on, resulting in a sharp reduction in cardiac output, resulting in shock. 6 allergy: mainly in certain drugs, serum preparation or vaccine i