"The clinical first aid" is one of the key points of diagnosis and treatment of clinical first aid of monographs, is the Zhejiang Province Rural Health Association organized the preparation of the "grassroots doctors Wenyuan" one of series of books. "The clinical first aid" is divided into two parts of 21 chapters, from clinical practice, combined with the new theory and new experience home and abroad, systematically and exhaustively describes the diagnosis of more than 150 kinds of clinical features, a common clinical emergency and first-aid measures, with particular attention to the clinical treatment of rationalization and standardization. In written form, breaking the general textbooks and reference books of traditional compiling pattern, incisive, briefly and quickly expounds the contents related to practical. The book style rigorous, innovative content, layout is concise, clear and easy to understand, to solve practical problems in clinical medicine, can be used as high grade students in the grassroots doctors and medical institutions pocket books.
The first chapter of the first part of CPR first section summarizes second basic life support section third section fourth further life support resuscitation drugs fifth cardiopulmonary resuscitation process figure second chapter shock section second section of hypovolemic shock, third septic shock fourth cardiogenic shock in fifth day anaphylactic shock in sixth day nerve the third chapter source shock component transfusion section section second blood preparation and clinical application of third day transfusion reaction and the fourth chapter of water, electrolyte and acid-base balance disorders section water and sodium metabolism disorder second potassium metabolism in section third section fourth assessment of acid-base balance disorder of acid-base balance index fifth chapter disseminated intravascular the sixth chapter is the coagulation of multiple organ dysfunction syndrome section section second (M) in diagnosis of the clinical characteristics of Ds third MODS standard treatment for fifth day important organ function of quasi fourth day MODS support strategy of the seventh chapter of common diseases of section second section third day fever headache chest pain fourth day fifth day sixth day coma abdominal pain, syncope Seventh Festival the eighth section of the ninth dizziness palpitation festival the eighth massive hemoptysis Hemorrhagic fever with renal syndrome sixth eighth bacterial dysentery Festival leptospirosis Seventh Festival botulism ninth cholera chapter infectious disease emergency first influenza for second day third day fourth day rabies measles rubella fifth renal syndrome......
The third section of septic shock, and a definition of septic shock (septic shock) - also called endotoxin shock and septic shock, is composed of sepsis (sepsis) induced hypotension state two, cause a variety of pathogenic microorganisms such as bacteria, fungi, viruses, protozoa can lead to septic shock -- relatively speaking, gram negative bacteria infection can easily lead to shock, the various parts of the cause of sepsis or septic shock -- surgery clinical more common in burns, peritonitis, suppurative cholangitis, pancreatitis, strangulated intestinal obstruction: a high proportion of three, is the result of mechanism / interpretation, immune resistance in nosocomial infection belonging to the high-risk groups, medium infection damage the immune system and inflammation (histamine, leukotrienes, prostacyclin and so on) the release of a large number of vasodilation, capillary endothelial damage, fracture increase, total peripheral vascular resistance decreased, resulting in inadequate tissue perfusion four, symptoms and signs, the primary focus of infection related symptoms and signs, the whole body inflammatory response syndrome (sIRS) - the most common fever, accompanied by chills, only 15% of the patients body temperature does not rise -- Beckoning tachycardia, tachypnea, lower blood pressure, systolic blood pressure below 90 MiniHg, or than the original basic blood pressure dropped to 40 mmHg · organ hypoperfusion -- little or no urine, pale or flush - mind change or disturbance of consciousness five, diagnosis, clinical, diagnostic standard for septic shock -- a definite infection foci, and / or evidence of pathogenic micro organisms -- with with systemic inflammatory response syndrome -- systolic blood pressure below 90 mmHg, or 40 mmHg than the original basic blood pressure drop, the fluid resuscitation 1 hours can not be restored or vasoactive drugs to maintain blood pressure -- with organ tissue hypoperfusion, such as urine volume of less than 30 M1 / h, hemodynamic characteristics: systemic vascular resistance or acute consciousness disorders, infectious shock drop, cardiac output is normal or increased, increased pulmonary vascular resistance, cardiac output is normal or high and low perfusion of tissue coexistence is characteristic, laboratory examination of blood routine, white blood cell count of septic shock often elevated, with nuclear left shift -- a white blood cell count of patients with severe can be reduced, with rod-shaped leukocytes increased significantly, serum electrolytes, BUN, Cr, glucose --PT / PTT-- blood type and image / special examination, blood culture - positive rate in 40% ~ 60%-- of suspected infection department A specimen of Microbiology (especially the bacteriology examination)
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