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直至最近,对儿科休克病人的生理学和治疗学的理解,仍以成人和动物试验的文献的解释为基础。作者认为,儿科心源性和败血性休克的生理学改变不同于成年人。在积极治疗期间,上述二类休克病儿显示出类似的血液动力学和氧利用的生理关系,提出按类似的生理学原理治疗病人。作者以1984～1986年公开报道过的病人为分析对象,休克标准为,所有病人的血压均低于相应年龄血压的第5百分位数或低于休克前血压的30%以上,全部低血压者至少伴有下述的3项确证的休克标准:心
Until recently, the understanding of the physiology and therapeutics of pediatric shock patients was still based on the interpretation of literatures in adult and animal experiments. The authors suggest that the physiological changes in pediatric cardiogenic and septic shock are different from those in adults. During active treatment, the above-mentioned second-class shock patients showed similar hemodynamic and oxygen physiologic relationships and proposed treatment of patients on similar physiologic principles. The authors, who were reported publicly in 1984-1986, were evaluated as having all the patients whose blood pressure was below the 5th percentile of the corresponding age blood pressure or below 30% of the pre-shock blood pressure, and all the hypotension At least accompanied by the following three confirmed shock standards: heart