Clinical characteristics of different types of traumatic shock

As follows from the above definition, "traumatic shock" the notion of a collective, which speaks only about the development is caused by injury to life-threatening condition, but does not reflect topographic anatomic features of the injury, the predominance of certain pathogenetic components, the depth of pathophysiological changes and the degree of compensation of vital functions. Therefore, at the clinical level the concept of "traumatic shock" should be understood not as a diagnosis and not as a comprehensive definition of a pathological condition of the victim, but only as an alarm signal, as a call for the immediate carrying out of remedial measures.
Development and variability traumatic shock first determines the vital importance of the damaged organs, departments and systems. On these grounds we can identify the following types: 1. Shock, evolved as a result of trauma regulatory departments and systems of the Central nervous system.
2. Shock, evolved as a result of the trauma of the Executive organs and systems, including: (a) damage to or obstacles to the normal functioning of vitally important organs and systems, b) damage to other organs and systems.
The main pathogenetic difference between these types of traumatic shock is that in some cases the injury directly in violation of the activity of the Central nervous system (cerebral shock), in other cases the fundamental principle of the developing shock are off or dysfunction of organs, causing secondary changes in the Central nervous system (thoracic or pleuropulmonary shock) and, finally, in some cases, the shock is the result of reflex influences coming from the injured peripheral parts of the body to a regulatory centers (reflex-pain shock).
Thus, considering certain types of traumatic shock, we are able not only to speak about the involvement of the traumatic (pathological) the process of the different organs and systems, but also to consider how to begin this process in each case.
We should mention that all types of traumatic shock are combined by a complex range of pathophysiological changes, the differences are most pronounced in the initial period of the disease, as deepening of these shifts more and more blurred, though never completely disappear.