[The clinical manifestations and treatment of shock in acute intestinal infections].
Shock (hypovolemic and infectious-toxic) is a severe complication of acute intestinal infections. Of 35096 patients with acute intestinal infections (90.6% had food poisoning, 9.4% had salmonellosis), 24 (0.07%) patients developed hypovolemic, 26 (0.08%) infectious-toxic shock. Hypovolemic shock is based on decompensated dehydration, infectious-toxic one arises from generalized circulation disorders with severe affection of hemostasis. Hypovolemic shock was effectively managed with polyionic crystalloid solutions. In infectious-toxic shock hemodynamic and homeostatic defects should be corrected. In spite of intensive therapy, lethality in infectious-toxic shock in patients with acute intestinal infections reached 80.8%.
Brodov
L E
LE
Iushchuk
N D
ND
Maleeev
V V
VV
Mashilov
V P
VP
D000208:Acute Disease; D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D003422:Critical Care; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005260:Female; D005517:Foodborne Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007410:Intestinal Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D012480:Salmonella Infections / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D012769:Shock / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D012772:Shock, Septic / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy
Klinicheskie proiavleniia i lechenie shoka pri ostrykh kishechnykh infektsiiakh.