J.Jpn. Surg. Soc.. 80(12): 1575-1579, 1979

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Report on the annual meeting

TRAUMATIC SHOCK

A classification of traumatic shock on the basis of the pathophysiology is outlined as follows:
1. Circulatory (hemorrhage, cardiac tamponade)
2. Neurogenic (head injury, spinal cord injury)
3. Respiratory (hemo-pneumo-thorax, rib fructure, injury of lung and trachea)
Although traumatic shock seems the same as hemorrhagic shock, traumatic shock complicate the injuries of soft tissues and vital organs such as liver, kidney and lung in addition to the hemorrhage. These damages increase the loss of extra-cellular fluid and cause the respiratory and renal insufficiency.
Development of shock lung and disseminated intravascular coagulation during the course of traumatic shock induce the patient to the refractory shock.

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