Aug 1, 2008

What are the hemorrhagic shock performance and how to diagnosis

In many cases the bleeding is not difficult to diagnose and can reflect the history and signs of vascular content and lack of adrenal compensatory reaction to the experimental test, however not entirely the case because of acute blood loss in a short period of time after the body fluids also move Obviously it is impossible not through blood tests indicators reflected the process longer if bleeding body fluids moving gradually increased so that blood will be present for the performance of hemoglobin concentration increased blood cells specific volume increased urea nitrogen and creatinine increase the proportion of loss of blood if the process longer hemorrhagic In particular the large amount of free water loss will occur gradually increased serum sodium increased sum up the shock of blood loss should be a full estimate of the often underestimated noteworthy

When the larger cause severe hemorrhagic low capacity in clinical shock and also difficult to grasp living practical changes in laws and in particular the recovery rehydration therapy is also difficult to show positive results should be considered at central venous catheter or conduct a pulmonary artery catheter Hemodynamic monitoring pressure through the centre can be observed CVP (CVP) and pulmonary artery wedge pressure (PCWP) from the heart to reduce output to reduce venous oxygen saturation (SVO2) and reduced systemic vascular resistance increased

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