Mechanism peripheral circulatory failure Vascular center- paralysis Treatment: pressor
Mechanism: peripheral circulatory failure Vascular center — paralysis Treatment: pressor
1960s The theory of microcirculation: Sympathetic adrenal medulla- hypersympathetic 7Os: Cellular metabolic disturbance 80s: septic shock
1960s: The theory of microcirculation: Sympatheticadrenal medulla — hypersympathetic 70s : Cellular metabolic disturbance 80s: septic shock
三、 Concept: Causes disturbance blood fow of microcirculation t functional and meta bolic disorders of the vital organs Inadequate tissue perfusion
二、Concept: Causes disturbance blood flow of microcirculation functional and metabolic disorders of the vital organs Inadequate tissue perfusion
三、 Etiology and classification of shock ( Etiology 1. Blood loss and body fluid loss SIHR/SBP SI Blood loss 0.5 10% compensation 1.0 20%30%shock 1.5 50% death
三、Etiology and classification of shock ㈠ Etiology 1. Blood loss and body fluid loss SI=HR/SBP SI Blood Loss 0.5 10% compensation 1.0 20% ~ 30% shock 1.5 50% death
fluid loss vomit. diarrhea collapse 2. Burn/trauma: pain, plasma loss burn shock, infection shock(late)
fluid loss vomit. diarrhea collapse 2.Burn/trauma: pain, plasma loss burn shock, infection shock(late)