1、外科休克外科休克ShockTerm “choc” French for “push” or impact was first published in 1743 by the physician LeDranAbout myselfName: 费 健Email: Mobile:137-0176-9798开始了大家要专心啊一个例子一个例子八大问题八大问题 A 22 year old man was driving drunk and without his seatbelt fastened when he was involved in a single-vehicle automobile
2、accident. When attended by EMT（ abbr. emergency medical technician 急诊医士 ） personnel, no information was available about the time of the accident. He was found agitated and complaining of abdominal pain. His airway was patent. At the scene, he was breathing at 20 per minute with a blood pressure of 9
3、0/60 and a pulse of 130. He was placed in a hard cervical collar and on a back board and transported to your emergency room. Upon arrival his vital signs are the same, with a temperature of 36oC. His abdomen is markedly distended. His hands and feet are cold, his legs mottled. A nasogastric tube rev
4、eals green liquid. A urinary catheter reveals dark yellow urine. His hemoglobin is 7. His abdominal lavage（ 灌洗 ） reveals gross blood. Study Questions 1:What type of shock does this patient exhibit?At the scene, he was breathing at 20 per minute with a blood pressure of 90/60 and a pulse of 130. Upon
5、 arrival his vital signs are the same, with a temperature of 36oC. His abdomen is markedly distended. His hands and feet are cold, his legs mottled. A nasogastric tube reveals green liquid. A urinary catheter reveals dark yellow urine. His hemoglobin is 7. His abdominal lavage（ 灌洗 ） reveals gross blood. 休克的原因和分类休克的原因和分类按 病因学 分类一、失血失液性休克 :二、创伤性休克：三、感染性休克：四、心源性休克：五、过敏性休克：六、神经源性休克：大出血，腹泻，剧烈呕吐等疼痛和失血内毒素大面积心肌梗死，心包填塞青霉素，血清制剂或疫苗高位脊髓麻醉或损伤
