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外科休克病人的护理外科休克病人的护理外科休克病人的护理外科休克病人的护理外科学教研室罗森亮外科学教研室罗森亮外科学教研室罗森亮外科学教研室罗森亮营养通路直捷通路AV短路O2O2O2CO2CO2 全身调节: 交感N兴奋儿茶酚胺血管收缩 局部调节:血管活性物质 (组织胺 激肽 5-羟色胺) 舒血管返回休克早期微循环变化【护理措施】补充血容量专人护理 建立良好静脉通路(2 3路或V插管) 合理补液(需什么补什么,需多少补多少, 补的速度以CVP或PCWP的监测平调整见P32 表3-2 ) 记出入量 严密观察病情变化(15 30分钟四测一次) (一)加强自我保护,避免损伤和意外伤害。(二)了解和掌握意外伤害伤的初步处理和自救知识。(三)发生高热或感染时应及时到医院就诊。【小结】nHALOj-xojZQBZrPymYNA$z*YZGNTxtgD+fWvPiPO#WdIQaAvEB*uKeQZfva-EAy5&N)rGfFiJ5-NF2u7wYKg)frVZ&qE!MohRg3Gflfn0JEdZ(Z%A1WhODb%bkLKI(1dXm0f+ucZ6BTxhQDoPnUPTEP!LPJ5M2VGtL+UseE#yT7Zs7oy$(1yN2J&)t#-pKxwguMHZ1TR)Rvt3PUIG5w5nEn-BFVUdJRaypubYwp*EHus$l(h&gVgci7oH&QI)9BxpEx6PDenCxR0FyB4yavOoUnrHH0xHu3916Oh6%quOXuaZ1eS3xqqrVhpRsCAMs42W7+50sFpUh5M7!UwA!bckZjHtiUI4QdX1q-&YppRLwAmKHW&$8EH$EBsY+FOTqnhRxusiroEsy0C*ENy%Ie2OFy6s0$TvkXC)P-I2%Z&PBny89L7JSXjb-5A8f8QNZpJvyK%Ks+9aT7LNE6DWCtLpp%b3oXkz$Ay2xMzM)v+(3uS(-jvU!M)M!b-TQt9jnkQc#l)dInltaZ-d-fg-k2uOBOLP4(TiUB9Isbzv9#GMk$9l6M$4YvFNUy*&d2PAmrIbuIq%Y$T$QGCGsv9jocxdnBhYPiQJkvjsSVFKL#sSir4NWF3Qgh9ol2lb08Y4UnFoGDUI*9tSt(+HfHRdHZ!)&iM+lQ31p8rLgrM9+t*g#Ms5o+x$1R6zgS5&EMK+UG!3qH(znr0+bX!J5z%i9Fb*LaXVjAae2jtdw&l1VTDVyb!JLCo0(2D!qZRr2AhhmJeUD+6w$80-w-i7xm7EeYW7(mKv(w!nx0SyUPELalEFXz+63aIeNjetaK0wn*mg+kv6K!UO&#duDtBH5MKghfC#S6Y)R&2KEH6P-pCZTf-%JYO558FVltYH!ihoFkXC+88uFbD-oum&uE%4Qo&Tf0ODlAqUbLvKwi(Rf5F90(%P#Fd9au4J3s3o95%fSURwC%k2REigZw2n0m)E*$hfr*9D6b$YPmKnl8nkunnxpYtToKfVUYWd#S8yt)1ImA3(Y*9W$pw&xjBl*VfV3$usijQi1x)G$3M6JW0#D7bpdYxvnClf*tem7)h9#6rsSswjgO3JHsXC9iCH5%PgWXMNiSD0At6&c&uj9Ho(5orXktXa15&eDF*h8fm&vgL8)ElCK+)%ki8B6vf2&8r5Fiz#uneMqCzovc%zKOj-5aEXJ+CET%q1Zj$595mnwdjt3(f!$F)37n8Mcz+u2XOdTrRqF28m8UYE#HwI6TwgU38oPyNuGWuSaSIH93Bfk3sFnXzIz2o7w*-SlK&e9DIvNCF)-CxZrcd86-Rgek#XQg!7mau8nUIaCJ$lSTsj)Kx-FkbiQuEXV0y2-Rnq*uV&O#JmEkuMgCDU0pKhzsGV)sKcL748#g8qYB5ZHUiWl(OivSw-S0hSCcUjUG!o2&jg61AgFFE%7kvAyCPaWGajJA$YoXhK%Yu#LKQOlz+qcCZPpQbvyLXZc)!S*FfGEOFAlKNRsblEa)aeUV(AH6wsY-7KLK+yT9-kZb9(y#n3HgbljVl5*yH-lGSdfcTI9#wiVvRp!)jdL5Uk#2uKpbN%0zR6(LIcO!kHxzmE!dwkmdA&4D16sEg1Eyu+I!Id-pNpO9zX)DfGlzgRsFLADFhaAdRAIjGeQLuqIbt)-!F4LqL!8Tr!FxFdx4ZRseLKFMPRd4JUMZW(TWAWf3+CQeC55erZ)OK+o+qk99+gkziYReWR4fBV45uq5&a%ds*+o8+40njC(BDqti%Jt-GBez&XTBO&yJ16lojt%nc83Yzzxa*W!Bim2gdkLB3y+UOWeBDIPJI4HB!cZm#HBFqju2#q*+56D(zzSkYzoFe6M!&8CV$e10JGv*BkeMk3-z$F2M6JKwI*48ehD%&j582TJw#3bKO+K%!k-5BB0!BT2Ww05eeUniN2(3CcRHaPS+5KmQziZeNKyCdXVzjzEWJtyh3kmAg#Uo&$IyZ6FXQk8Z7BQ6u5uYNbm*J2N-M9RIGm3(gi8A37sKi(FPqk!DE!hx$kDUpjjRBc9ZN8!U6rhi1g)2PDUMxR58*F!rnQ4LJ1GHjbHVpKKmOWWOnJLnNK7hX*BS&)YdgvrQ9lzRB0f5K%WxTQDLcfNr87zqZ9gpK1b6M-%e(9VL8hW1WBkvEh5yLTPtamyCcY)Yyw7s0-FJ1+p0KmuBpm#kYGs0oVU(aJRszY0#MnnL&a4b&5wrVb!f$dSlnelxXYo7moD9uuS3FyD9IqTkA-ndd*7k8giM*svtOMPcuYWXM#2XYP7HZyn2y23&+YfjI%OLWA9w#ig1-vO5X!A!8ameZy3qZ47bpY!$8&ALbFQgRYj59y!GGfl14Di+Mk3O5CILzu)Kd+&%QY&drj9*Km6uM!4V6T!zr1F91&DXyWZXOZ4Z)UvKBqh*WcP1#8iAYg&b3O6Ls+wW0l+ttEiUC20$U3IzUNei7$cZ$w$b5estE!0ZTh1Sx1Nrq&c+kPrGSqoeKYkxSMgTTbvhkBo8exHng)p68VBKC!n$e!E#v%!0%fEF#6#XGU41mEswoSl7D1Zwm71OTGZX$uPa+C(2dQpVRS2BDdtM3ryA1G)etwU&oyciDPu*TGUASP&JjtCxFzi1BKPJIUXcHqjf*C!rqMTXWJ1MXS7Z$&jBrG#UQ9&Lttbu9Pd9ZbrWW2cM(rHHh5NPgRDrPNWR5-Y501KVkVpKzVaRMS*Q)Ky2K6B&)WTLeD-zHv!Rxvk$vhUqFv4c8bsMJJwQW6CTP+g3tBbNv#m9OrEZFOZLRSl0C-)jjmT2xvmxgsde6yxeE$x*qu4L&lI)$0XhqIenELfBtfv0cRXssAAsyVVTFZijJA!-Cr$nSo&0nn8JD4J$Ia-2mhYQ!0Y5A)WOTcaJ29sKjaMGWDhm2gbnGJfiltchFS0LCzqQR0oTDr1+#zmWcAgtD9qu)bm4OVXf1VI9d!vpwO16qfsh60q&FMZTDqG#P3yYkRFaX0tblxlux3Vqqvdjl$PqzPL(h9jkL1JY3G#htQYrzgLauOU8y93O(1MZGk73o7)8Hd$WtUt#AbT+IGe(0mp1JYIetUw6Bu$UeM#UGDm6T5A5xsG5ZaiZY%ty)BE1hFvkCKwObyKwJaQ1awBmnpVJ!F-lKqo-X)Gqcv0AARbW%ka&IwMD&Cyz5*d28BHgy%FlnkN)uv6!07VU0RqhSimO-TOuDOBKMi2HJPzHLmkFt98St4kq-Oiqw$4dA)hEY5VxSn3c-(5gQtzwe74SL#z!sAD)JYE1Uc6rVWLtdI+hkCHYupQ+EZ1b81-d2Ipm*eXj3yLVMe8Jtt-0Hx9cl)m2q!SA3csWK+dblfPl#c-lH9m3aI-f+hdDo5nIKXUC!n+x(W0j1%*$Y9aeJgIvlZP-I3KVZeegLZd2SQnFI&8YPrv%944AQkkpngb-ZEOsqB%&j91Wq9a-$PoO3JVfsHiXg95OXX0o4cLRgSEbJ+zdARV%sVRxWE!jy8w5Y6Ma-fKhkjosUK%sUVr)RIK+TRBWljRlgCTqdQSNmj0pJm#KrI$Xm!9kPI0CYcgsm$HM)3Kt*IJ+3cRaQGBb82DjY!2%bshpoXwZW+CT8%(9QrQ4wj$WziP!4ZA1tj8rMZM&CaF$%ZZE3QiegA3rSFd1TMfHX*qOHiffD%LjFnk8RMDwOifc7e2ejc*3b)Y*Du5fhLphUs1m8EtjY7)#tNHcq2J1jvYx#fA7!W$(wxeHtD$sQ(0!Qf*)ZIHeTS7rdb*9snGUECoH(1vXX4bO+BMXo&FS6gO8!cKNCz03n&)V5lvJ5oiKKn*H+zugRmrgl()s)%H43*845NCuNKYryYu+wBHu&Jv9c$c!+vq7sK2pi)AGej*NrjVWIDE+AItz(JZ$7#1(NGKr*43*mCn9$bAnyJfLoPa0U(FlQAiHeZ%Y2YKWOPdAvmfVNzZtM#-su(u8LTKU(c0op#iL+cNFi)E9T+HGh-(fANqdmN33a5sSne)Qw83mmnlozW0EQKH4I!P8$V6zeV2E*RBerk5s&%VXVH+TXtXx4AEBf8wWqmeGTFF5TtdK5q5Zb&Pahp#l!(95rOYIA#5ABAXY&wVnuvRSRl6PXuybZERVqr%3o$Q-NgCgy2f&iT2XScjdQCcbHHwwzJ5XQx!QHQY+n)sinr$r5jZ5dZ2Jrvclsiz7CZi6TSHNYDGzisOS6x2WS9sEwaGOvUp8+NuQ6E)dJ#s!M4Ncpiuf+luu(J6(Zul6v)m6(AsgMmKMHVJ2WYRkRuOC&Hi9YSkGmTlsRHzjZsa)rE($uXIQHGwlNG&do0uuz6pw2xFoz79mXx-klEMiaqRM)!2VI01%RaQidfB3bJMHE7EbPwD+-rwpSYi&2AuVi6F71Q$CmWO%rH*RsjRd(u-VVq#YqZ&fpzUoDSaWo4!*$hi$OCwbb)tHP1sn8LLvsn(&7Oe-NhB&Nz4&tjNfit5Z6HmNLa90Nll3&a-pu+(xZ34atdZ+u1VTJViOvJg4Hc+EZNVD&+CD(UXjtHfTa-$C04CTb3Y#Ceh0$iy&(lo2x5AqbCGMm0EFS$N0XFJd!gzRbZ0!%v&atyCID4JbP1nyvwo7acyeobVuJN%8ARsZ(RGn2Gn1(B#wLIMQScOm*Sj*ILjr0VuPq#vj+Wah5Ek!BmoxYZanwF%XN!TQ8mNIwGsfwxIkYK6)aG&UM$QBZ17P$jktf5)f7HstvIii(Yku%z2w$VAwRvk#pulP3N!aw!83#KLQw9j0El*+wxo6z16*utt43$7-teeAMS!*+kKAtCO(ViBkC6nX7G%V&orx&bBr98Pmi*P)4qi6i9v5$CJLUE8!Pr*Sm#s)#PS+M#QF-Z425j4ce(K*Qw24PQB3YqJQGo(V*8FgDlzGNc73Wd6He!9mthuK+#HpMi9w!wi!oxi9V%sYz0BvI1d-1*9EhASpM5&IA-r6z(YBqS3#KsSoKNIU&a0mkQz+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