休克患者的镇痛镇静 1心源性休克的紧急处理 1. 坐: 端坐位2. 氧:吸氧3. 吗:吗啡肌注4. 强:强心剂5. 2l降低休克患者的焦虑应激3Epidemiology of anxiety for MV patientsAuthor Cited from Patient Type AnxietyJones C CCM 2001 ICU 33/45 (73%)Rotondi CCM 2002 ICU,MV 100/150 (67%)Swaiss MEJA 2004 ICU,MV 37/55 (68%)Sharon AJCC 2004 31 ICUs 73/106 (69%)Leur Crt Care 04 ICU,MV 66/123 (54%)Hsiao AATW2006 ICU,MV Serious4sympatheticNerveMedullaAdrenalineNon-adrHeartVesselsBronchiSystematic stress responses BeneficialHarmful5休克时的交感风暴v 休克时大量的内源性儿茶酚胺的释放可诱发机体一系列行为、内分