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失血性休克
Hemorrhagic Shock


Jeremy W. Cannon ... 其他 • 2018.01.25

失血性休克是一种低血容量性休克,由于严重失血而导致细胞水平的氧递送不足。如果失血得不到控制,患者会迅速死亡。导致休克的失血原因千差万别,包括创伤、产科出血、胃肠道出血、围手术期出血以及动脉瘤破裂1-4

失血死亡是一个重大的全球性问题,美国每年有6万多人因失血死亡,据估计,全球每年有190万人死于失血,其中150万人死于身体创伤造成的失血5。由于发生创伤的年轻人偏多,与整个人群中的年轻人数量不成比例,因此这150万人的死亡导致近7,500万生命损失年(表1)。此外,在最初的出血性损伤中存活下来的患者,其功能结局不良,且远期死亡率显著增高3,8。本文总结了失血性休克病理学知识的最新进展,并详细介绍了失血性休克危重患者的新治疗方法。





作者信息

Jeremy W. Cannon, M.D.
From the Division of Traumatology, Surgical Critical Care, and Emergency Surgery, Department of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, and the F. Edward Hebert School of Medicine, Uniformed Services University, Bethesda, MD. Address reprint requests to Dr. Cannon at the Division of Traumatology, Surgical Critical Care, and Emergency Surgery, 51 N. 39th St., Medical Office Bldg. 120, Philadelphia, PA 19104, or at jeremy.cannon@uphs.upenn.edu.

 

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