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Lartin General Critical Reaction: strike and vibration 1731, Henri Francois Le Dran apply to medicine for the first time 毛细血管无复流现象(capillary no-reflow phenomenon) Concept: large amount of blood transfusion and fluid infusion → Bp↑ but capillary blood flow has no recovery 休克晚期即使大量输血补液,血压回升,有时仍不能恢复毛细血管血流,称为无复流现象。 Mechanism: (1) WBC adhesion and aggregation (2)capillary endothelial cells swelling (3)formation of extensive microthrombi→blockage of capillaries 1.该患者发生休克了吗?属于哪种类型?处于哪一期? 2.该患者血压为何降低? 3.患者尿量为什么减少? 4.该患者应如何治疗? 病例2-3的微循环变化分别属于哪一个期?为什么?各应该如何治疗?
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