Childhood Shock and Its Treatment in Childhood

Yıl 2012, Cilt: 12 Sayı: 3, 99 - 112, 01.07.2012

Agop Çıtak

https://doi.org/10.5222/j.child.2012.099

Öz

Shock is the leading cause of morbidity and mortality in the pediatric population. It is defines as the state where the metaboic demands of tissue are not met due to circulatory dysfunction. Shock is a clinically diagnosed condition that results from varied etiologies. Delay in recognizing and quickly treating a shock results in progression from com- pensated reversible shock to widespread multiple system organ failure to death. Unlike adults, hypotension develops in older children. A strong index of suspicion by the trea- ting clinician and early fluid resuscitation followed by ongoing assessment and timely transfer to a higher level of care can make the difference between life and death for the child who presents in shock

Anahtar Kelimeler

Shock, child, etiology, treatment

Çocukluk Yaş Grubunda Şok ve Tedavisi

Öz

Şok çocukluk yaş grubunda önemli mortalite ve morbidite nedenidir. Dolaşım sistemindeki bozukluk sonucu dokula- rın gereksinim duyduğu oksijen ve diğer besin maddeleri- nin karşılanamamasına şok denir. Klinik bir tanı olan şok birçok farklı nedene bağlı olarak gelişir. Şokun tanı ve tedavisinde gecikme geri dönüşümlü olan kompanse şokun ilerleyerek çoklu organ yetmezliği gelişmesine neden olur. Erişkin hastalardan farklı olarak çocuklarda hipotansiyon geç dönemde gelişir. Şüphe eşiğinin düşük olması erken sıvı tedavisi, hastanın ileri bir merkeze zamanında transferi hastanın prognozunu belirgin olarak etkiler

Anahtar Kelimeler

Şok, çocuk, etiyoloji, tedavi

Kaynakça

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