Syncope and shock treatment

Syncope syncope is a time of extensive cerebral insufficiency and suddenly the brief loss of consciousness state of shock in the basic reasons for the lack of effective blood circulation, tissues or organs from the microcirculation infusion bad.

Shock is the cycle of dysfunction syndrome, for many of the complications of the disease. The incidence of the basic reasons for the lack of effective blood circulation, tissues or organs from the microcirculation infusion bad. Performance for the influx of cold limbs, looking pale or cyanosis, decreased blood pressure, pulse accelerated, urine output reduction, irritability, unresponsive, vague consciousness, a coma or even death. Shock usually have the following types:

1. Hemorrhagic shock from massive blood loss and more (from internal bleeding and hemorrhage), water loss (vomiting, diarrhea, intestinal obstruction, diabetes, such as acid poisoning, the loss of plasma (burns, peritonitis, pain and inflammation, and other large area) caused by .

2. Septic shock by many gram-negative bacilli (E. coli, vice Escherichia coli, Proteus, gas bacilli, and so on) within the toxin produced by the trigger. Toxic bacillary dysentery, toxic pneumonia epidemic hemorrhagic fever and other diseases, and more timely treatment may not appear.

3. Cardiogenic shock caused by heart disease. Often secondary to acute cardiac infarction, acute cardiac tamponade, acute pulmonary embolism, all kinds of myocarditis cardiomyopathy, heart valve mouth obstruction or incompetence and serious arrhythmias.

4. Anaphylactic shock many sources of allergic contact history. To drugs or biological products have the speed of the allergic reaction.

5. Neurogenic shock due to trauma, pain, traumatic brain injury, spinal cord caused by the anesthesia. Shock in the early多见looking pale, cold extremities, and the purple group with mild skin Huaban, speed up the pulse, then irritability, nausea and vomiting, but clearly consciousness, normal or low blood pressure, pulse pressure smaller; Gradually looking to Qinghui, a cold aggravated limbs, skin Humidicool, speed up the pulse, pulse and fine touch unclear, decreased blood pressure, pulse pressure reduced, patients thirsty, expression indifferent, weak, unresponsive, lethargy, progressive development For the sense of ambiguity, coma, urine or decreased urine closed, as well as acidosis, difficulty in breathing. Late often appear disseminated intravascular coagulation, or even cerebral hernia, liver necrosis. Patients often have life-threatening.

Treatment measures are: oxygen; sits flat place; warm quiet, there can agitate and appropriate use of sedatives; acupuncture into, declared 10 points, added blood volume, the use of vasoactive drugs, electrolytes and water to correct metabolic disorder; application Adrenal cortex hormones and cardiac drugs; meet Chinese medicine. In short, to be sent to hospital for emergency treatment.

Syncope is a time of extensive cerebral insufficiency and suddenly the brief loss of consciousness, and patients with muscle tension disappeared, suddenly fell on the ground or unable to stand, could resume in a short period of time. Syncope is the main cause of cerebral blood flow plunged. It can be induced by the following reasons:

1. Cardiac output lower, more interested dysfunction in a drastic reduction or total blood volume.

2. Blood pressure dropped dramatically, due to peripheral vascular tension and more reflective or passive loss, the surrounding small blood vessels caused by rapid expansion.

3. Cerebral blood flow in the artery supply of acute ischemia, many of cerebral vascular occlusion or cramps, an increase in cerebral vascular resistance.

Syncope often have the following types:

1. Reflex syncope, including vasovagal syncope, the carotid sinus syncope, micturition syncope, of orthostatic hypotension living Cayman dedicated, 100 pharyngeal neuralgia syncope, cough syncope, swallowing syncope, and so on. Syncope more with such emotion and pain stimulation on. Common grief, fear, anxiety, halo-pin, Jianxue and the acute infection, trauma pain, blood loss, hunger, pregnancy, fatigue, and other circumstances occurred, sultry weather, traffic congestion, standing for too long can also be induced. Can have prior to the onset of fatigue, attention is not focused, dizziness, confusion, looking pale, sweating, nausea, Daha Qian, the sign of symptoms such as abdominal discomfort, black eyes and then suddenly appeared, standing under the steady, loss of consciousness, with blood pressure drop , Ease weak pulse, dilated pupils, scattered, reduce muscle tension, sometimes enuresis. After a few seconds or minutes can be automatically regained consciousness. Regained consciousness after a headache, general weakness, and so does not apply, and some people may have mild forgotten, trance, and other symptoms, sustained l ~ 2 can be restored.

2. Cardiac arrhythmia syncope (including bradycardia, tachycardia and ventricular arrest, etc.), cardiac diseases, acute cardiac ejection blocked (left atrial myxoma, congenital heart disease, heart valve disease, etc.) Pulmonary blood flow disruption (pulmonary embolism, primary pulmonary hypertension, etc.). When symptoms of heart disease is more obvious, often at the onset of the peak there, and not because of disease symptoms and reduce the syncope. The patients have serious life-threatening. 3. Syncope variety of brain-derived cerebral vascular diseases caused by cerebral ischemia, aortic arch syndrome, basilar artery migraine, and so on. There are prior to the onset of hypertension, cerebral arteriosclerosis history, the emotional or serious condition at Youyi occurred. There are often serious cerebral vascular symptoms, significant changes in blood pressure, some patients will evolve into a coma because of syncope, or even sudden death.

Syncope attack, straight-from sits flat, untie the collar, bra, belt, raise the lower extremities, after a period of time, generally can be quickly restored. If can not resume, then-borne diseases seriously.