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乳酸早期清除率与重症感染患者预后的关系 被引量：1

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摘要 目的评价乳酸早期清除率与重症感染患者预后的关系。方法分析35例重症感染患者的临床资料,根据预后将患者分为存活组(23例)和死亡组(12例),比较患者乳酸清除率。同时以乳酸清除率10%为界限,分为高乳酸清除组(26例)和低乳酸清除组(9例),比较2组病死率。结果年龄、入ICU时的APACHEⅡ评分和血乳酸值在存活与死亡2组间相比较无统计学差异。存活组的乳酸清除率高于死亡组(P<0.05);高乳酸清除组的病死率明显低于低乳酸清除组,且2组相比差异有显著性(P<0.05)。结论早期6 h动脉血乳酸清除率可以评估重症感染患者的预后转归。
作者 黄小权 孙小兵
机构地区 南通市第二人民医院
出处 《基层医学论坛》 2011年第31期1027-1028,共2页 The Medical Forum
关键词 重症感染 乳酸 乳酸清除率 预后
分类号 R459.7 [医药卫生—急诊医学]
  • 相关文献

参考文献6

  • 1Nguyen HB,Rivers EP, Knoblich BP,et al. Early lactate clearance is associated with in proved outcome in severe sepsis and septic shekel [J]. Cfi Care Med,2004,32(8):1637-1642.
  • 2Sablotzki A, Muhling J, Czeslick E. Sepsis and multiple organ failure update of current therapeutic concepts [J].Anasthesiol lntensivmed Noffallmed Schmerzther, 2005,40(9) : 511-520.
  • 3王东浩.乳酸清除率评估重度脓毒症患者预后的临床分析[J].中国急救医学,2007,27(1):15-17. 被引量：97
  • 4俞娅芬,陈德昌,宋秀琴.早期诊断严重脓毒症 脓毒性休克研究进展[J].中国急救医学,2007,27(2):154-156. 被引量：56
  • 5Lee S W,Hong YS,Park DW,et al: Lactic acidosis not hyperlactatemia as a predictor of inhospital mortality in septic emergency patients [J]. Emergency Me- dicine Journal, 2008,25 ( 1 ) :659-665.
  • 6Nguyen HB,Rivers EP,Havstad S. Critical cae in emergency department:A physiology assessment and outcome evaluation [J].Acad Emerg Med,2000,7(7) : 1354-1361.

二级参考文献24

  • 1Nguyen HB,Knoblich BP,Muzzin A,et al.Early lactate clearance is associated with improved outcome in severe sepsis and septic shock[J].Crit Care Med,2004,32(8):1637-1642.
  • 2Sablotzki A,Muhling J,Czeslick E.Sepsis and multiple organ failureupdate of current therapeutic concepts[J].Anasthesiol Intensivmed Notfallmed Schmerzther,2005,40 (9):511-520.
  • 3Levy MM,Fink MP,Marshall JC,et al.2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference[J].Crit Care Med,2003,31 (4):1250-1256.
  • 4Dellinger RP,Carlet JM,Masur H,et al.Surviving sepsis campaign guidelines for treatment of severe sepsis and septic shock[J].Crit Care Med,2004,32 (3):858-873.
  • 5Bennett ED.Early goal-directed therapy:An evidence-based review[J].Crit Care Med,2004,32(11Suppl):S448-S450.
  • 6Blow O,Magliore L,Claridge JA,et al.The golden hour and the silver day:detection and correction of occult hypoperfusion within 24 hours improves outcome from major trauma[J].J Trauma -Injury,Infection,Crit Care,1999,47 (5):964-969.
  • 7Bakker J,Gris P,Coffernils M,et al.Serial blood lactate levels can predict the development of multiple organ failure following septic shock[J].Am J Surg,1996,171 (2):221-226.
  • 8Suistomma M,Ruokonen E,Kari A,et al.Time-pattern of lactate and lactate to pyruvate ratio in the first 24 hours of intensive care emergency admissions[J].Shock,2000,14(1):8-12.
  • 9McNelis J,Marini CP,Jurkiewicz A,et al.Prolonged lactate clearance is associated with increased mortality in the surgical intensive care unit[J].Am J Surg,2001,182(5):481 -485.
  • 10Christ-Crain M,Morgenthaler NG,Struck J,et al.Mid-regional pro-ADM as a prognostic marker in sepsis:an observational study[J].Crit Care,2005,9(6):816 -824.

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基层医学论坛
2011年 第31期

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