大量胸腔积液致梗阻性休克1例

A case of obstructive shock caused by massive pleural effusion

梗阻性休克是由大血管或心脏本身阻塞引起的临床症状,常见于大面积肺栓塞、心包积液、气胸、腔静脉梗阻等病因。尽管其发病症状类似于心源性休克,但梗阻性休克需要与后者明确区分开来,因为两者的治疗方式截然不同。本文回顾性分析解放军总医院第六医学中心急诊医学科抢救室收治的1例以大量胸腔积液为罕见病因的梗阻性休克患者的临床资料并进行总结,旨在扩展对梗阻性休克临床表现及病因的认知,为临床诊疗提供经验,避免出现误诊及漏诊。

Obstructive shock is a clinical symptom caused by obstruction of large blood vessels or the heart itself.Although its symptoms are similar to those of cardiogenic shock,obstructive shock needs to be clearly distinguished from the latter because the two have completely different treatment methods.This paper retrospectively analyzes and summarizes the clinical data of a patient with obstructive shock with massive pleural effusion as a rare cause admitted to the emergency department of the Sixth Medical Center of the PLA General Hospital,aiming to expand the cognition to the clinical manifestations and etiology of obstructive shock,provide experience for clinical diagnosis and treatment,and avoid misdiagnosis and missed diagnosis.