Xiang-dong GUAN, Xiang SI. Rethink of the Definition and Classification of Shock[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(5): 438-441. doi: 10.3969/j.issn.1674-9081.2019.05.002
Citation: Xiang-dong GUAN, Xiang SI. Rethink of the Definition and Classification of Shock[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(5): 438-441. doi: 10.3969/j.issn.1674-9081.2019.05.002

Rethink of the Definition and Classification of Shock

doi: 10.3969/j.issn.1674-9081.2019.05.002
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  • Corresponding author: GUAN Xiang-dong Tel: 86-20-87755766, E-mail:guanxiangdong1962@163.com
  • Received Date: 2019-07-10
  • Publish Date: 2019-09-30
  • Shock, which has been clinically recognized and treated for many years, is a common life-threatening disorder. In recent years, with the development of hemodynamic theory, the assessment and understanding of shock have been progressing. Based on the latest knowledge, Chinese experts of critical care medicine attempted to define a Chinese definition of shock: an acute circulatory syndrome with insufficient perfusion to tissues and organs, which is due to changes in perfusion flow by various causes. According to the characteristics of hemodynamics and clinical application, shock is still classified into four groups: distributive, hypovolemic, obstructive, and cardiogenic. If different types of shock coexist, it is called "mixed shock". Therefore, it helps us to better understand, evaluate and manage this situation, so that more patients with shock can benefit from it.
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  • [1] 刘大为.休克的治疗:血流动力学启示录[J].协和医学杂志, 2017, 8:322-325. http://www.cnki.com.cn/Article/CJFDTotal-XHYX201706002.htm
    [2] Millham FH.A brief history of shock[J].Surgery, 2010, 148:1026-1037. doi:  10.1016/j.surg.2010.02.014
    [3] Cecconi M, De Backer D, Antonelli M, et al. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine[J]. Intensive Care Med, 2014, 40:1795-1815. doi:  10.1007/s00134-014-3525-z
    [4] 李莉, 严静.脓毒性休克的复苏:过去、现状与未来[J].中华内科杂志, 2019, 58:342-345. http://med.wanfangdata.com.cn/Paper/Detail?id=PeriodicalPaper_zhnk201905002
    [5] 吴健锋, 管向东, 陈娟, 等.早期乳酸清除率评估与失血性低血容量休克预后的研究[J].中华普通外科学文献, 2010, 04:28-30. http://www.cnki.com.cn/Article/CJFDTotal-ZHPD201004013.htm
    [6] He HW, Liu DW, Long Y, et al.High central venous-to-arterial CO2 difference/arterial-central venous O2 difference ratio is associated with poor lactate clearance in septic patients after resuscitation[J].J Crit Care, 2016, 31:76-81. doi:  10.1016/j.jcrc.2015.10.017
    [7] 刘大为.休克复苏:流量指标的龙头效应[J].中华内科杂志, 2017, 56:321-323. http://d.wanfangdata.com.cn/periodical/zhnk201705001
    [8] 管向东, 聂垚.休克治疗的理念与进展[J].中华重症医学电子杂志, 2015, 1:53-57. http://qikan.cqvip.com/Qikan/Article/Detail?id=668907954
    [9] Weil MH, Shubin H.Proposed reclassification of shock states with special reference to distributive defects[J]. Adv Exp Med Biol, 23:13-23. https://pubmed.ncbi.nlm.nih.gov/5164840/
    [10] Vincent JL, De Backer D. Circulatory shock[J]. N Engl J Med, 2013, 369:1726-1734. doi:  10.1056/NEJMra1208943
    [11] 刘大为.临床感染性休克:我知道吗?[J].协和医学杂志, 2018, 9:385-388. http://www.cnki.com.cn/Article/CJFDTotal-XHYX201805001.htm
    [12] Kauvar DS, Wade CE.The epidemiology and modern management of traumatic hemorrhage:US and international perspectives[J].Crit Care, 2005, 9 Suppl 5:S1-S9. doi:  10.1186/cc3779
    [13] Nolan JP, Pullinger R. Hypovolaemic shock[J]. BMJ, 2014, 348:g1139. doi:  10.1136/bmj.g1139
    [14] 管向东.失血性休克[J].中国实用外科杂志, 2006, 26:916-919. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zgsywkzz200612007
    [15] Slama M, Tribouilloy C, Maizel J. Left ventricular outflow tract obstruction in ICU patients[J].Curr Opin Crit Care, 2016, 22:260-266. doi:  10.1097/MCC.0000000000000304
    [16] Saito S, Toda K, Miyagawa S, et al. Diagnosis, medical treatment, and stepwise mechanical circulatory support for fulminat myocarditis[J]. J Artif Organs, 2018, 21:172-179. doi:  10.1007/s10047-017-1011-4
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