E-viri
Recenzirano
-
Ammirati, Enrico; Oliva, Fabrizio; Frigerio, Maria; Joffe, Ian; Andersen, Geir Ø; Vincent, Jean-Louis; De Backer, Daniel
The New England journal of medicine, 02/2014, Letnik: 370, Številka: 6Journal Article
To the Editor: In their review of circulatory shock, Vincent and De Backer (Oct. 31 issue) 1 report that hypoperfusion can be apparent through the skin (cold extremities), the kidney (low urinary output), and the brain (altered mental state). We believe that the liver should also be included in this list of key organs that are markers of shock. In cardiogenic shock, in which hypoperfusion is usually associated with increased central venous pressure, hepatomegaly can be clinically apparent by palpation, and abdominal discomfort due to stretching of the liver capsule may be a symptom. There is often an increase in levels . . .
