How to diagnose shock

summary

Shock can occur in many serious diseases, because of the great harm, the correct diagnosis is very important. Let's see how to diagnose shock.

How to diagnose shock

First of all: when there are typical clinical manifestations, the diagnosis of shock is not difficult, it is important to find and deal with it in time in its early stage, otherwise it will do great harm to patients.

Secondly, the possibility of shock should be considered when there are signs of sympathetic adrenal hyperfunction. Early diagnosis of symptoms included: (1) increased blood pressure and decreased pulse pressure; (2) increased heart rate; (3) thirst; (4) moist skin, white mucous membrane and cool extremities; (5) collapse of skin veins; (6) decreased urine volume (25-30ml / L)

Finally: the diagnostic criteria of shock for many years are as follows: ① there are causes of shock. ② There is a disturbance of consciousness. ③ Pulse is fine and fast, more than 100 beats / min or cannot be touched. ④ The limbs are wet and cold, the skin of sternum is positive for finger pressing (refilling time is more than 2 seconds after compression), the skin has pattern, the mucous membrane is pale or cyanotic, the urine volume is less than 30ml / h or the urine is closed. ⑤ Systolic blood pressure was lower than 10.7kpa (80mmHg). ⑥ 7 kPa (20 mmHg). ⑦ The systolic blood pressure of patients with hypertension decreased by more than 30%. Shock can be diagnosed if it is in accordance with Item 1, two of items 2, 3 and 4 and one of items 5, 6 and 7.

matters needing attention

Shock is a common clinical emergency, we should seize the time for treatment, effective intervention in the early stage of shock, actively control the causes of shock, effectively curb the development of the disease, help to improve the prognosis.