請問什麼是「cryptic shock」?

請問什麼是「cryptic shock」?

應該是醫學上的名詞吧

請告訴我中文意思

1 Answer

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  • kevin
    Lv 6
    1 decade ago
    Favorite Answer

    根據cryptic shock的定義,這種休克病人血液動力學正常,但高死亡率,

    目前有些學者將這種情形改稱血壓正常的休克normotensive shock,

    所以這個辭應該可以譯成神秘的休克,或是不易理解的休克

    參考資料如下:

    The term "cryptic shock" is often used for patients with deceptively normal hemodynamic parameters, yet presenting high risk for morbidity and mortality because of global ischemia with increased lactate blood level. If the blood pressure is normal, but lactate blood level is high secondary to global tissue ischemia, some call this condition "normotensive shock" instead of "cryptic shock". Actually, some patients can even be in "hypertensive cryptic shock" (for instance in cardiogenic shock with marked sympathetic system activation and or during a hypertensive crisis due to pheochromocytoma), with evidence ot tissue hypoxia (high lactate blood level).

    It is important to note that many physicians do not believe that patients with normal blood pressure can be in shock. For those non-believers, they should at least admit that a previously chronically hypertensive patient with blood pressures running chronically in the 180/100 mmHg range, and presenting to the emergency room department with a blood pressure of 100/70 ("normal BP"), can be in full blown shock (in these cases, compensatory mechanisms are at play and maintain some blood pressure through severe increase in systemic vascular resistance thereby severe inducing tissue ischemia).

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