本文为一组难治期严重休克患者的回顾性研究,其目的为确定对患者的死亡或存活可如何予以预测。材料和方法:29例严重休克患者,13例存活,16例死亡。研究内容包括血压、血容量、心排出量、呼吸和其它代谢因素。患者进休克病房前均接受静脉输液、类固醇和血管活性药物等治疗无效,排尿量不足而中心静脉压或肺动脉压增高。 This article is a retrospective study of a group of patients with severe shock refractory to the objective of determining how the patient’s death or survival can be predicted. MATERIALS AND METHODS: Thirty-nine patients with severe shock, 13 survived, and 16 died. Research includes blood pressure, blood volume, cardiac output, respiratory and other metabolic factors. Patients admitted to the ward before receiving intravenous fluids, steroids and vasoactive drugs such as treatment ineffective, insufficient urinary output and central venous pressure or pulmonary hypertension.