Advances in resuscitation strategies.

Advances in resuscitation strategies.
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DOI:
10.1016/j.ijsu.2010.09.001
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发表时间:
2011
影响因子:
15.3
通讯作者:
Alam, Hasan B.
Alam, Hasan B.
中科院分区:
医学2区
文献类型:
--
作者:
Alam, Hasan B.

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无论病因如何,休克的特点是向组织输送的氧气和营养物质减少,我们的干预措施旨在逆转细胞缺血并防止其后果。实现这一目标最有效的治疗策略显然取决于不同类型的休克(出血性休克、败血症休克、神经源性休克和心源性休克)。这篇简短的综述集中在外科患者休克的两个主要原因:出血和败血症,并解决了一些新的发展,这些新的发展已经深刻地改变了治疗模式。这里的重点是新的研究,它极大地改变了我们的治疗策略,而不是休克的基本病理生理学。
Shock, regardless of etiology is characterized by decreased delivery of oxygen and nutrients to the tissues and our interventions are directed towards reversing the cellular ischemia and preventing its consequences. The treatment strategies that are most effective in achieving this goal obviously depend upon the different types of shock (hemorrhagic, septic, neurogenic and cardiogenic). This brief review focuses on the two leading etiologies of shock in the surgical patients: bleeding and sepsis, and addresses a number of new developments that have profoundly altered the treatment paradigms. The emphasis here is on new research that has dramatically altered our treatment strategies rather than the basic pathophysiology of shock.
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