Clinical manifestations of painful shock: First, manifestation of painful symptoms, such as painful face, generally patients will passively use their hands to press the site of severe pain. Second, pale face, wet and cold extremities, may appear to have a pattern of skin spots or mucous membrane pallor, or even cyanosis and other manifestations. Third, abnormal consciousness, early can be manifested as a state of nervousness or even excitement, irritability, and may also appear fussiness symptoms. However, in the middle or late stages of shock, there will be a poor mental state, and even blurred consciousness, coma and other manifestations. In terms of blood pressure, usually systolic blood pressure is below 90 mmHg, or in patients with pre-existing hypertension systolic blood pressure has decreased by 30% or more from the original level, then the diagnosis of painful shock can be made.