休克

Objective To investigate the safety and efficacy of autotransfusion in therapy in hemorrhagic shock with ectopic pregnancies by abdominoscope.

目的 研究自体血液回输在腹腔镜下宫外孕失血性休克治疗中的安全性和效果。

hs combined autotransfusion is an effective treatment of the acute hemorrhagic shock of ectopic pregnancy.

贺斯联合自血回输是救治异位妊娠急性失血性休克的有效措施。

Objective: to discuss the clinical significance of 6% hs combined autotransfusion in the anesthesia of patients with ectopic pregnancy acute hemorrhagic shock.

目的：探讨6%贺斯联合自血回输在异位妊娠急性失血性休克患者麻醉中的临床意义。

SHsp could be used to increase the resistance to adversity and production of ethanol in Bacillus subtilis.

［目的］研究热休克蛋白对增强枯草芽孢杆菌的抗逆性和增加乙醇产量的影响。

In this case, because it is caused by bacterial toxins, it is called septic shock.

在这种情况下，因为它是造成细菌毒素，这是所谓的感染性休克。

Methods Fiftythree patients with SAP admitted from 1995 to 1999 was categorized as group 1, and 57 patients admitted from 2000 to 2005 as group 2, were analyzed retrospectively. Ranson′s score, acute physiological and chronic health evaluationⅡ score, Balthazar CT grade, presence or absence of biliary tract obstruction, hypoxia, lung infection, shock, abdomen compartment syndrome, hyperlipemia, pleural effusion were analysed logistically. Mortality following different treatments and incidence rate of complications were also evaluated.

回顾性分析安徽省立医院1995—1999年收治的53例SAP患者(第1组)和2000—2005年收治的57例SAP患者(第2组)临床资料，对患者Ranson评分、急性生理学与慢性健康状况评分Ⅱ、Balthazar CT分级以及是否伴有胆道梗阻、休克、高脂血症、腹腔间隙综合征、低氧血症、肺部感染、胸腔积液等因素进行多因素Logistic回归分析，分析不同治疗方法对并发症发生率和病死率的影响。

Results摘要: The incidence rates of renal dysfunction, shock, cardiovascular failure and gastrointestinal hemorrhage, the score of acute physiology and chronic health evaluation Ⅱ and the frequencies of pulse and breath in the severe hypoalbuminemia group were all higher than those in the mild hypoalbuminemia group (P＜0.05 or P＜0.01). The differences of incidence rate of hepatic failure and the scores of Ranson and Balthazar CT between these two groups had no statistical significance (P＞0.05). The incidence rate of infection and the mortality in the severe hypoalbuminemia group were higher than those in the mild hypoalbuminemia group (P＜0.01) in the later stage of SAP.

结果摘要：重度低白蛋白血症组肾功能衰竭、休克、心衰及消化道出血的发生率高于轻度低白蛋白血症组（P＜0.01，肝功能衰竭发生率两组比较无统计学差异；Ranson评分及Balthazar CT评分两组间比较，差异无统计学意义（P＞0.05）；重度低白蛋白血症组的急性生理和慢性健康评价指标Ⅱ（acute physiology and chronic health evaluationⅡ， APACHEⅡ）评分、脉搏和呼吸频率均明显高于轻度低白蛋白血症组（P＜0.05或P＜0.01；重度低白蛋白血症组后期感染发生率及病死率均高于轻度低白蛋白血症组

The differences of incidence rate of hepatic failure and the scores of Ranson and Balthazar CT between these two groups had no statistical significance (P＞0.05). The incidence rate of infection and the mortality in the severe hypoalbuminemia group were higher than those in the mild hypoalbuminemia group (P＜0.01) in the later stage of SAP. Conclusion: Hypoalbuminemia in the early stage can accelerate the deterioration in pathophysiology of SAP.

结果：重度低白蛋白血症组肾功能衰竭、休克、心衰及消化道出血的发生率高于轻度低白蛋白血症组（P＜0.01，肝功能衰竭发生率两组比较无统计学差异；Ranson评分及Balthazar CT评分两组间比较，差异无统计学意义（P＞0.05）；重度低白蛋白血症组的急性生理和慢性健康评价指标Ⅱ（acute physiology and chronic health evaluationⅡ， APACHEⅡ）评分、脉搏和呼吸频率均明显高于轻度低白蛋白血症组（P＜0.05或P＜0.01；重度低白蛋白血症组后期感染发生率及病死率均高于轻度低白蛋白血症组

Results: The incidence rates of renal dysfunction, shock, cardiovascular failure and gastrointestinal hemorrhage, the score of acute physiology and chronic health evaluation Ⅱ and the frequencies of pulse and breath in the severe hypoalbuminemia group were all higher than those in the mild hypoalbuminemia group (P＜0.05 or P＜0.01). The differences of incidence rate of hepatic failure and the scores of Ranson and Balthazar CT between these two groups had no statistical significance (P＞0.05). The incidence rate of infection and the mortality in the severe hypoalbuminemia group were higher than those in the mild hypoalbuminemia group (P＜0.01) in the later stage of SAP.

结果：重度低白蛋白血症组肾功能衰竭、休克、心衰及消化道出血的发生率高于轻度低白蛋白血症组（P＜0.01，肝功能衰竭发生率两组比较无统计学差异；Ranson评分及Balthazar CT评分两组间比较，差异无统计学意义（P＞0.05）；重度低白蛋白血症组的急性生理和慢性健康评价指标Ⅱ（acute physiology and chronic health evaluationⅡ， APACHEⅡ）评分、脉搏和呼吸频率均明显高于轻度低白蛋白血症组（P＜0.05或P＜0.01；重度低白蛋白血症组后期感染发生率及病死率均高于轻度低白蛋白血症组

The complications in the early stage, related parameters, and the incidence rate of infection and mortality in the later stage were evaluated respectively. Results: The incidence rates of renal dysfunction, shock, cardiovascular failure and gastrointestinal hemorrhage, the score of acute physiology and chronic health evaluation Ⅱ and the frequencies of pulse and breath in the severe hypoalbuminemia group were all higher than those in the mild hypoalbuminemia group (P＜0.05 or P＜0.01). The differences of incidence rate of hepatic failure and the scores of Ranson and Balthazar CT between these two groups had no statistical significance (P＞0.05). The incidence rate of infection and the mortality in the severe hypoalbuminemia group were higher than those in the mild hypoalbuminemia group (P＜0.01) in the later stage of SAP.

结果：重度低白蛋白血症组肾功能衰竭、休克、心衰及消化道出血的发生率高于轻度低白蛋白血症组（P＜0.01，肝功能衰竭发生率两组比较无统计学差异；Ranson评分及Balthazar CT评分两组间比较，差异无统计学意义（P＞0.05）；重度低白蛋白血症组的急性生理和慢性健康评价指标Ⅱ（acute physiology and chronic health evaluationⅡ， APACHEⅡ）评分、脉搏和呼吸频率均明显高于轻度低白蛋白血症组（P＜0.05或P＜0.01；重度低白蛋白血症组后期感染发生率及病死率均高于轻度低白蛋白血症组

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。