协和医学杂志

2019, v.10(05) 438-441

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休克定义及分型的再思考
Rethink of the Definition and Classification of Shock

管向东;司向;
GUAN Xiang-dong;SI Xiang;Department of Critical Care Medicine,the First Affiliated Hospital of Sun Yat-sen University;

摘要(Abstract):

休克,已被临床认识和治疗多年,是常见的危及生命的疾病状态。近些年,随着血流动力学理论及认知内涵的发展,人们对于休克的评估与认识不断深入。在此基础上,中国的重症医学专家们尝试提出休克的中国定义:各种原因引起全身灌注流量改变,导致组织器官氧输送不足与氧代谢异常的急性循环综合征。同时根据血流动力学特点及临床应用,休克的分型依然是:分布性、低血容量性、梗阻性、心源性。当不同类型的休克同时存在时,可以称之为混合性休克。由此,以更好地理解休克、评估休克、管理休克,使更多的临床休克患者从中获益。
Shock,which has been clinically recognized and treated for many years,is a common lifethreatening disorder. In recent years,with the development of hemodynamic theory,the assessment and understanding of shock have been progressing. Based on the latest knowledge,Chinese experts of critical care medicine attempted to define a Chinese definition of shock: an acute circulatory syndrome with insufficient perfusion to tissues and organs,which is due to changes in perfusion flow by various causes. According to the characteristics of hemodynamics and clinical application,shock is still classified into four groups: distributive,hypovolemic,obstructive,and cardiogenic. If different types of shock coexist,it is called "mixed shock". Therefore,it helps us to better understand,evaluate and manage this situation,so that more patients with shock can benefit from it.

关键词(KeyWords): 休克;中国定义;分型
shock;Chinese definition;classification

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基金项目(Foundation): 吴阶平临床科研专项基金(320.6750.18068,320.6750.18037)

作者(Author): 管向东;司向;
GUAN Xiang-dong;SI Xiang;Department of Critical Care Medicine,the First Affiliated Hospital of Sun Yat-sen University;

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