Aku baru start study surgery balik. Mase study bab shock, aku terbace bab ischemia-reperfusion syndrome dalam buku bailey & love's. Aku rase ramai budak2 medic esply Alex tahun 4 (skang tahun 5) yang tatau pasal ni sbb aku tak jumpe dalam slide lecture. Bagi aku benda ni sangat penting!
Sape2 yg ade buku surgery bailey & love's bolehla bukak m/s 13 part bawah sekali. Or boleh click link ni -> hamba wiki
Secara ringkasnye patient tu systemic hypoperfused, so cellular & organ damage progresses sbb direct effect of tissue hypoxia & activation of inflammation. Patient ni maybe ade hypovolaemic shock contohnya. So kita mesti nak correct volume & hypoxia tu. Kita pun bagila saline & oxygen. Tengok2 condition jd worse & patient tu maybe mati sbb cardiac arrest.
Sebenarnye ape yg berlaku tu la ischaemia-reperfusion syndrome or wikipedia kate reperfusion injury.
So management utk kes camni dalam buku ni sebut by reducing the extent & duration of tissue hypoperfusion je. Dalam wiki - aortic cross-clamping, therapeutic hypothermia & yang aku berminat nak tau dgn mendalam, hyrogen sulfide, H2S.
Ok, tu je utk hari ni. Good luck 10 malam terakhir ramadhan ni, sama-sama rebut pahala insyaAllah dan good luck kpd sape2 yg ade exam.
Mohd Peng
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salam...bnda ni ada citer sket2, tapi dlm paeds.. slide HIE (hypoxic ischaemic injury).. cuma paeds dia bnyk cter psl brain injury, but basically similar.
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