推 ineihs:我覺得老師的點是你標那句前面一句...不過他多寫了持續 08/03 12:24
→ ineihs:做成題意不清 08/03 12:25
※ 引述《eel (小鰻)》之銘言：
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: 題號: 醫學(__) 第___題
: 題目內容:
: 下列何者不是refractory shock or irreversible shock 的原因?
: 題目疑義:
: 答案給B 血液容積持續不足????
: 如果我沒錯的話..shock的定義不就是血液灌流不足嘛??
: 反而是shock跟答案D的 ARDS有什麼關係了...
: 本題建議處理方式:
: B改D
參考來源:Ganon 22e P.639
有人可以幫忙消化這段嘛，我看起來怎麼覺得缺血應該也能造成refractory shock才是
如果需要貼整段課文 我晚點再弄好了
Refractory Shock
Depending largely on the amount of blood lost, some patients die soon after
hemorrhage and others recover as the compensatory mechanisms, aided by
appropriate treatment, gradually restore the circulation to normal. In an
intermediate group of patients, shock persists for hours and gradually
progresses to a state in which no response to vasopressor drugs takes place and
in which, even if the blood volume is returned to normal, cardiac output
remains depressed. This is known as refractory shock. The condition is not
￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣
unique to hemorrhagic shock but occurs in other forms as well. It used to be
￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣
called irreversible shock, and patients still do die despite vigorous treatment
. However, more and more patients are saved as understanding of the
pathophysiologic mechanisms increases and treatment improves. Therefore,
refractory shock seems to be a more appropriate term.
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◆ From: 124.8.13.190
※ 編輯: ikwu 來自: 124.8.13.190 (08/03 12:13)