| 王今达,高天元,崔乃杰,李跃汉,李荣成,杨素珍,任新生,柯楠笙,葛素珍,张振江.中西医结合治疗感染性休克105例临床分析[J].中国中西医结合杂志,1983,(1):21-24,3 |
| 中西医结合治疗感染性休克105例临床分析 |
| Clinical Analysis of 105 Cases of Septic Shock with Combined Treatment of TCM-WM |
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| DOI： |
| 中文关键词: 中西医结合治疗 感染性休克 临床分析 冷休克 中药治疗 心功能不全 微循环障碍 体温不升 改善微循环 并发症 |
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| 中文摘要: |
| 我室自1974年8月～1981年10月,中西医结合治疗感染性休克98例,单用中药治疗7例,共105例,临床分析如下;中西医结合诊断标准一、有明确的严重感染。二、临床可以除外其他病因,并能排除干扰因素。三、收缩期血压<80mmHg,或原有高血 |
| 英文摘要: |
| 105 cases of septic shock were presented in this paper.Their etiological classification includes:bacterial pneumonia 55 cases;septicaemia 16 cases;suppurative peritonitis 12 cases;suppurative biliary infection 4 cases; intrauterus infection 6 cases;miscellaneous 12 cases. Classification according to haemodynamic monitoring status is as follows:cold shock(low cardiac output and high peripheral resistance)88 cases,warm shock(high cardiac output and low peripheral resistance)17 cases. Differentiation of symptom-complexes according to TCM includes:Re Jue(mimic cold shock)73 cases;Han Jue(mimic low temperature cold shock)15 cases;Re Sheng Qi Tuo(mimic warm shock)17 cases. TCM-WM treatment resulted in 88 cases(83.9%)of recovery and 17 cases(16.1%)of death.There are three points specific to TCM-WM treatment. 1.Comprehensive measures in anti-sepsis are adopted according to the general condition of the patients.(1) Bacteriaand toxin are brought under control concomitantly.(2)Clearing of the heat and purgation are carried out at the same time.(3)pathogenic factors are dispelled to restore normal functioning of the human body. 2.there are three links in preventing shock:(1)Improve microcirculation and stabilize the cellular function;(2) Maintain an effective volume of blood circulation and decrease the viscosity of blood;(3)Correct the acid-base imbalance. 3.The combination of prevention and treatment is needed to maintain the function of vital organs in order to acheive this,one has to resort to the early use of preventive and therapeutic measures to combat the acute complication of the heart,brain,lung,kidney and liver. To sum up,our practice suggests that the combined treatment of TCM and WM is significantly better than the mere use of WM. Besides,following problems are stressed:(1)The extent of blood pressure drop has no prognostic significance. Prognosis will be very poor with the narrow gradient of the arterio-venous oxygen content difference which signifies the damage of cellular function of oxygen uptake;(2)Complication of respiratory alkalosis can be found frequently. (3)Early correction of hypoxemia and the maintaining of oxygen delivery level in normal range (>650ml/min)are helpful in the prevention of multi-organ failure. |
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