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现就基层门诊诊治5例不同类型早期休克,作一回顾. 一、心源性休克的早期诊治例1:张某,男性,21岁,战士.一周前有低热咽痛、咳嗽流涕等症状,经门诊治疗,症状缓解.但起病第九日11时50分执勤归来时,突感头晕心慌,胸闷气紧.由两名战士急扶来诊,仅述心里难受,呼吸困难.随即出现肢冷发绀,痰鸣.进而昏迷,口吐粉红色泡沫样血痰.血压70/50,双肺可闻及大量湿性啰音.立即静脉推注25%葡萄糖液20ml加毒毛旋花子苷K0.25mg,同时给氧.6分钟后,意识逐渐恢复,停止咯泡沫样血痰,血压80/60.观察15分钟,病情平稳.就近急送市医院,诊断为心肌炎伴左心衰竭,住院治愈.
Now on the primary out-patient diagnosis and treatment of 5 different types of early shock, make a review. First, early diagnosis and treatment of cardiogenic shock Example 1: Zhang, male, 21 years old, warrior. A week ago with fever, sore throat, cough, runny nose and other symptoms , The outpatient treatment, the symptoms ease .But on the ninth day at 11:50 on the return of duty, the sudden feeling dizzy and flustered, chest tightness and gas tight .From two soldiers rush to the clinic, only the heart uncomfortable, breathing difficulties .After that Limb cold cyanosis, phlegm and then coma, mouth spit pink foam-like bloody sputum blood pressure 70/50, both lungs can smell a lot of wet rales immediately intravenous injection of 25% glucose solution 20ml add toxins spinosad K0. 25mg, while oxygen .6 minutes later, the consciousness gradually restored, stop slightly bubble-like blood phlegm, blood pressure 80/60. Observation of 15 minutes, the disease was stable. Near the hospital to the emergency, diagnosis of myocarditis with left heart failure, hospitalization.