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通过探讨 2例救治创伤失血性休克致循环高负荷死亡的原因 ,提示临床医生在救治休克时 ,存在盲目依赖输血输液扩充血容量、回升血压倾向 ,违反医疗常规的输液量平衡和晶体液与胶体液比例 ,以及忽略诊治休克原发病等问题 ,从而引起致命性的循环高负荷、水中毒和血液稀释等医源性疾病。结合典型医疗纠纷案例的经验教训 ,分析救治休克的一般原则和机理 ,提出正确救治休克应注意的事项 ,以期避免或减少医师犯同类医疗过失。讨论处理这类医疗纠纷的临床病理的理论依据。
By investigating the causes of 2 cycles of high-load death caused by traumatic hemorrhagic shock, it is suggested that clinicians blindly rely on transfusional infusion to expand blood volume, raise blood pressure tendency, violate medical routine infusion volume balance, and crystalloid and plastic The proportion of body fluid, and the neglect of primary diseases such as the diagnosis and treatment of shock, leading to fatal cycles of high load, water poisoning and hemodilution and other iatrogenic diseases. Combined with the experience and lessons of typical cases of medical disputes, this paper analyzes the general principles and mechanism of shock treatment and puts forward the issues that should be paid attention to in the proper treatment of shock in order to avoid or reduce the doctors’ similar medical mistakes. Discuss the theoretical basis for the clinical pathology of such medical disputes.