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Pediatric Shock: An Overview

机译:小儿休克:概述

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摘要

Shock is one of the most frequently diagnosed, yet poorly understood disorders in the pediatric intensive careunit (PICU). The very definition of what constellation of physical signs and symptoms that comprise shock remainscontroversial, in part due to the vast array of disorders that cause shock in critically ill and injured children. Earlymanagement and reversal of the shock state is associated with significantly improved outcomes. However, earlymanagement is critically dependent upon the early recognition and diagnosis of shock at the bedside. Failure to recognizethe signs and symptoms of shock and to institute timely and appropriate care leads to higher mortality rates in bothchildren and adults. Clinical recognition of shock requires a high index of suspicion – as such, all pediatric health careproviders should be cognizant of the clinical presentation, pathophysiology, and early management of shock.
机译:休克是小儿重症监护病房(PICU)中最常被诊断但知之甚少的疾病之一。关于构成休克的身体征兆和症状的确切定义仍然存在争议,部分原因是造成危重和受伤儿童休克的各种疾病。休克状态的早期管理和逆转与转归明显改善有关。但是,早期管理在很大程度上取决于对床边电击的早期识别和诊断。无法识别休克的体征和症状,无法及时采取适当的护理措施,会导致儿童和成人的死亡率更高。休克的临床识别需要高度怀疑–因此,所有儿科医疗保健提供者都应意识到休克的临床表现,病理生理和早期处理。

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