新生儿休克是儿科医生最感棘手的危重症之一。病情发展迅速,病死率高,有“死亡通路上的休息站”之称。近年来在治疗方面有所进展。现作一简要综述如下。一、病因 (一) 低血容量:失血、失水。 (二) 呼吸衰竭:窒息、其他疾病所致呼吸衰竭。 (三) 心源性:先天性心血管畸形,心肌疾患,节律失常、低血糖、低血钙等。 (四) 败血性:败血症、坏死性小肠结肠炎腹膜炎。 (五) 药物引起:血管扩张剂使用不当。二、临床表现和诊断休克并无特异的临床和实验室表现,诊断主要 Neonatal shock is one of the most critical and critical disorders for pediatricians. The rapid development of the disease, high mortality, a “death path on the rest stop,” said. In recent years, progress has been made in the treatment. A brief summary is made below. First, the cause (a) hypovolemia: blood loss, dehydration. (B) respiratory failure: suffocation, respiratory failure caused by other diseases. (C) Cardiogenic: congenital cardiovascular malformations, myocardial disorders, arrhythmia, hypoglycemia, hypocalcemia and so on. (D) septic: sepsis, necrotizing enterocolitis peritonitis. (E) drug caused: improper use of vasodilators. Second, clinical manifestations and diagnosis Shock and no specific clinical and laboratory performance, the main diagnosis