title: [The clinical manifestations and treatment of shock in acute intestinal infections].
abstract: 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%.
authors.forename: L E
authors.initials: LE
authors.lastname: Brodov
authors.forename: N D
authors.initials: ND
authors.lastname: Iushchuk
authors.forename: V V
authors.initials: VV
authors.lastname: Maleeev
authors.forename: V P
authors.initials: VP
authors.lastname: Mashilov
mesh_terms: 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
vernacular_title: Klinicheskie proiavleniia i lechenie shoka pri ostrykh kishechnykh infektsiiakh.