低血容量休克复苏指南（2007）

Guidelines for resuscitation of hypovolemic shock （2007）

1 概述 低血容量休克是指各种原因引起的循环容量丢失而导致有效循环血量与心排血量（CO）减少、组织灌注不足、细胞代谢紊乱和功能受损的病理生理过程。近30年来，低血容量休克的治疗已取得较大进展，然而，其临床病死率仍然较高。低血容量休克的主要死因是组织低灌注以及大出血、

Hypovolemic shock is a pathophysiologic condition produced by rapid and significant loss ot intravascular volume, leading sequentially to hemodynamic instability, decreases in oxygen delivery, decreased tissue perfusion, cellular hypoxia, cellular and organ damage, multiple organ dysfunction syndrome （MODS） and may end in death. Early recognition of hypovolemic shock and prompt systematic intervention will help avoid poor outcomes. The guideline is aimed to review the clinical aspects of hypovolemic shock （including definition, pathophysiology, monitoring, diagnosis, therapy, endpoints of resuscitation, et al.） and provide recommendations according to evidence.