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一直以来,临床上普遍认为去甲肾上腺素治疗休克会增加死亡风险。现在看来,这一观点已经过时了。循环性休克以低血压和组织灌流减低为特征,如果不及时治疗,会导致不可逆的细胞损伤和死亡。低血压的原因随休克类型的不同而不同,大致包括:
It has been generally accepted clinically that norepinephrine in the treatment of shock increases the risk of death. It now appears that this view is outdated. Cyclic shock is characterized by hypotension and decreased tissue perfusion that can lead to irreversible cell damage and death if not treated promptly. The causes of hypotension vary with the type of shock and broadly include: