美国重症医学的基础教程休克的诊断与治疗.pptVIP

Diagnosis and Management of ShockSHK 1 ?第一页，共二十八页。 ObjectivesIdentify the major types of shock and principles of managementReview fluid resuscitation and use of vasopressor and inotropic agentsUnderstand concepts of O2 supply and demandDiscuss the differential diagnosis of oliguriaSHK 2 ?第二页，共二十八页。 ShockAlways a symptom of primary causeInadequate blood flow to meet tissue oxygen demandMay be associated with hypotensionAssociated with signs of hypoperfusion: mental status change, oliguria, acidosisSHK 3 ?第三页，共二十八页。 Shock CategoriesSHK 4 CardiogenicHypovolemicDistributiveObst