تعريف

Septic shock is a condition in which blood pressure falls dangerously. It may occur in patients with serious infections. Very low blood pressure will slow blood flow. Organ failure may occur if the blood flow is too low.

أسباب

Septic shock is caused by sepsis. Sepsis can be triggered by many different kinds of infections including:

  • Bacterial
  • Viral
  • Parasitic
  • الالتهابات الفطرية

الصدمة الإنتانية

عوامل الخطر

The following factors increase your chance of septic shock:

  • Age: newborns and people over age 50
  • Weakened immune system
  • Low white blood cell counts
  • Chronic diseases
  • الجراحة السابقة

الأعراض

If you experience any of these do not assume it is due to septic shock. These قد يكون سبب الأعراض by other, less serious health conditions. If you experience any one of them, see your doctor.

  • ارتباك
  • Reduced alertness
  • Irregular blood pressure
  • قشعريرة
  • Fever, which may be followed by a drop in body temperature
  • Warm, flushed skin
  • Rapid, pounding heartbeat
  • تنفس سريع
  • Reduced urination
  • فشل كلوي
  • Lung failure
  • سكتة قلبية
  • Blood clots

التشخيص

سوف يسألك طبيبك عن أعراضك وتاريخك الطبي. اختبار فيزياء سوف يتم. قد تشمل الاختبارات ما يلي:

  • Blood tests to measure white blood cells, oxygen levels, platelet count, lactic acid, and metabolic waste
  • Blood tests and cultures to check for infectious organisms
  • Electrocardiogram (ECG)—to check for heart rhythm irregularities

العلاج

تحدث مع طبيبك حول أفضل خطة لك. تشمل خيارات العلاج ما يلي:

Supportive Measures for Shock

If you have septic shock, you will be admitted to the intensive care unit. There you will be given:

  • IV fluids—delivered directly into a vein
  • Drugs to increase blood flow
  • Extra oxygen

If your lungs fail, you may be put on a mechanical ventilator. It will help you breathe. Other therapies or supportive measures may be used.

الأدوية

Once the cause of the infection is identified, you will be given high doses of one or more antibiotics.

جراحة

Surgery may be performed to remove any dead tissue.

الوقاية

Most cases of septic shock cannot be prevented. Treating bacterial and other infections promptly may help.

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