Abstract
Background: Acute hemorrhages in neonates and young children can be compensated for a long period of time until a decrease in blood pressure and manifest shock occur. Objective: To determine the characteristics of the pathophysiology of the circulation in children and to recognize critical signs and symptoms of hemorrhage. Material and methods: Pathophysiology and discussion of the literature Results: Shock in neonates and children can be present long before a decrease in blood pressure occurs. It is characterized by tachycardia, tachy(dys)pnea, prolonged capillary refilling time, disorders of consciousness (apathy), disturbance of temperature regulation and reduced urine output. Laboratory markers are metabolic acidosis and elevated lactate and a normocytic anemia earlier than in adults. Conclusion: In contrast to adults a decrease in blood pressure in neonates and young children is a late sign of shock, whereas normocytic anemia occurs earlier than in adults.
| Translated title of the contribution | Hemorrhagic shock in early childhood—Characteristics of circulatory regulation |
|---|---|
| Original language | German |
| Pages (from-to) | 949-958 |
| Number of pages | 10 |
| Journal | Monatsschrift fur Kinderheilkunde |
| Volume | 166 |
| Issue number | 11 |
| DOIs | |
| State | Published - 1 Nov 2018 |