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KMID : 0381219700020090049
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Journal of RIMSK
1970 Volume.2 No. 9 p.49 ~ p.55
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ACUTE CIRCULATORY FAILURE
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Abstract
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Circulatory failure has been defined as the inability of the circulation to maintain an adequate minute volume blood flow to supply the needs of the tissues circulatory failure has been compensating through their own organs cooperations and efforts.
Compensation is effected at first by cardiac enlargement and latter by a variety of adjustments,
including vasoconstriction and sodium and water retension, which tend to resfore, and adequate cardiac output.
Acute circulatory failure may be of myocardial origin or it may result from disease elsewhere in the circulation.
Acute myocardial failure may be further subdivided into acute congestive heart failure and shock. In acute congestive heart failure the clinical picture is dominated by signs of vasocapillary congestion, venocapillary hypertension and edema retrograde or behind the failing chamber, most commonly acute pulmonary edema. By contrast, in acute myocardial failure classified as shock, in clinical picture is characterized by failure due to inadequate cardiac output and inadequate perfusion of tissues, with severe hypotension and neusrvascular compensations. Firequently, as in acute myocardial infarction, acute circulatory failure is manifested simultaneously by congestive heart failure (pulmonary edema) and shock. The term of shock has sometimes been used synony-mously with acute peripheral circulatory insufficiency. This is inappropriate, since the clinical syndrome and pathophysiologic disturbances characterized as shock may be of cardiac or peripheral origin. Shock, syncope and
sudden death are forms of acute circulatory failure which differ in speed of onset of the circulatory failure, and in severity and reversibility.
The physiologic and clinical classification described. And also clinical interpretations and treatments reviewed fundamentally.
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KEYWORD
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