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重视严重多发伤后早期多因型休克的临床诊治

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多因型休克指患者伴发的休克可归因于两种及以上的不同休克类型,其在严重多发伤患者中并不罕见.目前对多因型休克的认识严重不足,一旦漏诊将导致严重不良后果.严重多发伤后伴发多因型休克的综合救治极其复杂,目前仍缺乏相应的诊疗规范与指南,各类处置措施也常相互矛盾,临床决策充满风险与挑战.本文回顾近年多因型休克的相关文献,并结合笔者最近的相关临床研究,对多因型休克的诊断与治疗进行初步阐述,以供临床参考.
Multifactorial shock in the early phase after polytrauma:keep in mind the diagnosis and management principles
Multifactorial shock,defined as experiencing more than one type of shock,is not uncommon in the early phase after polytrauma.At present,our understanding of multifactorial shock remains limited,and its misdi-agnosis could lead to serious adverse consequences.Comprehensive management of multifactorial shock in polytrau-ma patients is extremely complex,and there is still a lack of guidelines for the diagnosis and treatment of multifacto-rial shock.The available treatment options often present conflicting perspectives,resulting in various risks and chal-lenges in clinical decision making.In this paper,we provide a preliminary exposition on the diagnosis and treatment of multifactorial shock based on the latest published literature and our recent clinical research.

PolytraumaMultifactorial shockDiagnosisManagement

董黎明、罗家柳、唐朝晖

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华中科技大学同济医学院附属同济医院创伤外科,武汉 430030

多发伤 多因型休克 诊断 治疗

国家自然科学基金

81873870

2024

创伤外科杂志
第三军医大学,大坪医院,野战外科研究所

创伤外科杂志

CSTPCD
影响因子:1.017
ISSN:1009-4237
年,卷(期):2024.26(8)
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