【医学大全】SHOCK (43p).pptVIP

SHOCK;Western record violent impact or blow, 1743 physiologic instability, 1815 Eastern record 厥脱，内闭外脱;Initial Explanation of shock;with the Rise of Physiology;with the Combination of  Physiology and Biochemistry;Antedate the Era of Critical Care Medicine;Controversy on Lung Kidney;A syndrome that results from inadequate perfusion of tissues insufficient to meet metabolic demand lead to cellular dysfunction, elaboration of inflammatory mediators, and celluar injury which may be limited, or widespread A continuum, ranging from subclinical deficits in perfusion to MODS or frank organ failur