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88例心源性休克抢救中几个问题的探讨(附8例临床尸检对比)

Problems in Emergency Treatment of 88 Cases of Cardiogenic Shock (Clinicopathologic Report of 8 Cases)
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摘要 本文报告我院1978~1988年急症住院确诊的心源性休克88例,经治疗后存活43例,死亡45例(51.5%),其中8例作临床尸检对比。通过临床分析,对抢救中5个问题进行了探讨。 88 cases of cardiogenic shock were treated 1978~1988. The problems in emergency treatment were as follows. 1. Coution is needed during Phentolamine therapy in AMI with shock, as blood pressure may suddedly fall leading to death. 2. The first choice of treatment of right ventricular infarction was volume expansion. 3. The best therapeutic approach to tachycardiac atrial fibrillation with shock appeared to be control ventricular rate by digitalis. 4. The dose of digitalis used in cases of congestive heart failure with shock should be small and repeatedly. 5. A clinicopathological analysis of 5 misdiagnose cases and among 8 autopsied patients. were studies.
作者 徐楚材 陈方
出处 《华西医讯》 CAS 北大核心 1990年第2期125-127,共3页
关键词 心源性休克 急救 尸检 Cardiogenic shock Emergency treatment
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参考文献1

  • 1DoleWP,O’RourkeRA,麻世跡.心源性休克的病理生理学和处理[J]国外医学心血管疾病分册,1984(02).

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