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目前对中毒性休克的发病机制尚不十分清楚,意见亦不统一,特别在治疗方面,尤其是升压药物的应用,意见仍有分歧。我院自1962年8月至1964年8月期间,收治十三例中毒性休克病人,占内科住院病人总数1421人之0.9％。分折报告如下: 一、临床诊断依据中毒性休克常发生于下述两种情况:①严重感染;②体内毒性产物的吸收。内科所见之中毒性休克主要发生于严重感染之后,根据我们的经验,凡符合下例条件者,可作为诊断依据: 1.在休克的同时有明显感染或中毒现象; 2.具有低血压及其他末梢循环衰竭现象。又按临床表现的严重程度分为休克前期,轻度、中度及重度休克四型:
At present, the pathogenesis of toxic shock is not yet fully understood and the opinions are not uniform. In particular, there are still differences of opinion in terms of treatment, especially the application of antihypertensive drugs. Thirteen patients with toxic shock were admitted to our hospital from August 1962 to August 1964, accounting for 0.9% of the total number of hospitalized patients with internal medicine. Fractal report as follows: First, the clinical diagnosis based on toxic shock often occurs in the following two situations: ① serious infection; ② absorption of the body of toxic products. According to our experience, those who meet the following conditions, can be used as a diagnosis based on: 1. In shock with significant infection or poisoning; 2. With low blood pressure and Other peripheral circulatory failure phenomenon. According to the severity of clinical manifestations is divided into pre-shock, mild, moderate and severe shock four types: