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感染性休克是由各种不同病原微生物及其产物所致的临床严重的综合病症。休克的诊断除了按标准外,新生儿及小婴儿由于早期症状不典型,常易漏诊误诊,待症状典型时病情已不可逆,所以遇以下症状就应考虑休克诊断:1.详细询问有否感染病史。2.皮肤颜色苍白、发灰或出现紫绀花纹。3.反应低下。4.皮肤毛细血管再充盈时间延长>3秒。5.股动脉搏动弱、心音低、血压下降。6.呼吸增快,有代谢性酸中毒。7.尿量少。8.新生儿皮肤硬肿,体温不升,四肢凉等。现将我院儿科1987年1月~1991年12月收治危重及休克死亡病人66例,分析如下。
Septic shock is a clinically serious and complex condition caused by a variety of pathogenic microorganisms and their products. In addition to the standard shock diagnosis, newborns and small infants due to early symptoms are not typical, often misdiagnosis misdiagnosis, to be symptoms when the disease has been irreversible, so the following symptoms should be considered shock diagnosis: 1. Asked in detail whether the history of infection . 2. Skin pale, gray or appear cyanotic pattern. 3 reaction is low. 4. Skin capillary refill longer than 3 seconds. 5. Femoral pulse weakness, low heart sounds, blood pressure. 6. Breathing faster, there is metabolic acidosis. 7. Small amount of urine. Neonatal skin sclerosis, body temperature does not rise, limbs and other cool. Now our hospital pediatric January 1987 ~ December 1991 admitted to the critical and shock died of 66 patients, analysis is as follows.