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一、本文报告伴有末梢循环衰竭之急性胃肠炎患者62例,占同时期住院的急性胃肠炎患者的15.5%。腹泻、呕吐、腹痛、无力、脱水和发热为常见的征候。重度脱水、脉搏细频、血压不能测得、无尿、狂躁和昏迷提示病况危重,但种志清醒者亦可伴有显著休克。二、综合治疗措施中应强调恢复血容量的重要性,使用适量的异压药物可以促进休克的恢复,但不能单独应用,以免加重组织缺氧。肠道抗菌药物,控制吐泻和补充钾盐都是重要的治疗措施。三、重症者以40岁以上的居多,死亡5例中有4例年龄大于40岁。死因以中毒性休克和急性肾功能衰竭为主。
First, this paper reports 62 cases of acute gastroenteritis accompanied by peripheral circulatory failure, accounting for 15.5% of patients with acute gastroenteritis admitted to the same period. Diarrhea, vomiting, abdominal pain, weakness, dehydration and fever are common signs. Severe dehydration, pulse frequency, blood pressure can not be measured, no urine, mania and coma prompted the critical condition, but the kind of sober people may also be associated with significant shock. Second, the comprehensive treatment measures should emphasize the importance of recovery of blood volume, using the appropriate amount of different pressure drugs can promote the recovery of shock, but can not be used alone, so as not to aggravate tissue hypoxia. Intestinal antimicrobials, control of vomiting and potassium supplementation are important treatments. Third, severe cases are mostly over the age of 40, 5 cases of death in 4 cases older than 40 years old. The cause of death was toxic shock and acute renal failure.