休克的快速处理

Rapid treatment of shock

休克是各种原因导致急性循环衰竭和细胞氧利用不足的临床综合征，是儿童急诊和儿童重症监护室（PICU）中最常见的临床现象之一。通常根据患儿的临床表现、血流动力学改变，即可作出休克的诊断。治疗原则主要包括纠正休克病因，进行液体复苏和血管活性药物维持血流动力学稳定。可通过临床观察及血流动力学参数评估休克的疗效，而超声和微循环的评估将是休克疗效评价的一个新发展方向。

As one of the most common clinical phenomenon in pediatric emergency and the pediatric intensive care unit, shock is the clinical expression of circulatory failure that results in inadequate cellular oxygen utilization. Typically, shock can be diagnosed based on clinical and hemodynamic. Treatment should include correction of the cause of shock and hemodynamic stabilization, primarily through fluid infusion and administration of vasoactive agents. The patient＇s response can be monitored by means of careful clinical evaluation and hemodynamic parameters. Echocardiographic valuation and mierovascular evaluation will be the new development direction of effect evaluation of shock.