休克防治现代认识.pptVIP

休克防治的现代认识 休克（shock） acute circulatory failure of sufficient magnitude to compromise tissue perfusion,cellular hypoxia and disturption of normal metabolic function 病理生理 有效循环 BP 组织灌注 缺O2 代谢紊乱 酸中毒 微血栓DIC 各种细胞质膜破裂 细胞自溶 组织损伤 MODS MOF 休克的生理模型研究提示 tissue hypoxia resulting from poor tissue perfusion is the basic physiologic defect of all shock syndromes 传统分类 cardiogenic shock traumatic shock neurogenic shock septic shock 新分类(1975 MH, Weil)Classification Hypovolemic 低血容量性 Cardiogenic 心源性 Distributive 分布性 Obstructive