期刊文献+

12h乳酸清除率测定与急性中毒预后关系的研究

12-hour Lactate Clearance Rate Measurement and Prognosis of Acute Poisoning Relations
暂未订购
导出
摘要 目的初步探讨12h乳酸清除率与急性中毒预后的相关性。方法对我院收治的90例急性中毒患者进行入院初12h乳酸清除率测定及APACEHⅡ评分。比较APACEHⅡ评分分值不同组12h乳酸清除率差异及乳酸清除率与急性患者病死率的相关性。结果 APACEHⅡ评分高分组与低分组,12h乳酸清除率差异显著。急性中毒患者12h乳酸清除率与APACEHⅡ评分呈负相关,r=-0.46,P<0.05。急性中毒患者12h乳酸清除率与APACEHⅡ评分呈负相关。存活组血乳酸清除率显著高于病死组(P<0.05)。结论 12h乳酸清除率测定与急性中毒预后评估切实相关。 Objective Primary discussion for the relationship between prognosis of 12 hours lactate clearance rate in acute poisoning patients.Method 12 hours lactate clearance and APACEⅡ scoring system score were taken in 90 admission patients with acute poisoning.Difference of 12 hours lactate clearance between the two groups,which had different APACHEⅡ score,was studied.Study the relation ship between 12 hour lactate clearance and mortality in acute poisoning patients.Results 12 hours lactate clearance was significantly lower in high score group compared with the low score group.The negative correlation between 12 hours lactate clearance and APACEⅡ score was significant(r =-0.46,P 0.05).12 hours lactate clearance in survival group was significantly higher than in death group(P 0.05).Conclusion 12 hours lactate clearance was closely related to prognosis in patients with acute poisoning.
作者 韩冰
出处 《中国医药指南》 2013年第2期16-16,共1页 Guide of China Medicine
关键词 乳酸清除率 急性中毒 预后 Lactate Clearance rate Acute poisoning prognosis
  • 相关文献

参考文献2

二级参考文献13

  • 1李春盛,李爱民,王燕燕,孙丽君,张胜兰.急性危重病患者血清乳酸浓度的临床意义[J].中国危重病急救医学,1994,6(5):302-303. 被引量:6
  • 2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
  • 3陈海雁.急性危重病患者血乳酸(LACT)与血气检测的临床应用[J].临床和实验医学杂志,2007,6(7):91-91. 被引量:34
  • 4Abramson D, Scalea TM, Hitehoek R, et al. Lactate clearance and survival following injury. J Trauma, 1993, 35:584-588.
  • 5Arnold RC, Shapiro NI, Jones AE, et al. Multi-center study of early lactate clearance as a determinant of survival in patients with presumed sepsis. Shock, 2008, 12:104-122.
  • 6Billeter A, Turina M, Seifert B, et al. Early serum procalcitonin, interleukin-6, and 24-hour lactate clearance: useful indicators of septic infections in severely traumatized patients. World J Surg, 2009, 33:558-566.
  • 7Dellinger RP, Levy MM, Carlet JM, et al. Surviving sepsis campaign : international guidelines for management of severe sepsis and septic shock :2008. Crit Care Med, 2008, 36:296-327.
  • 8Nguyen HB, Rivers EP, Bemhard P, et al. Early lactate clearance is associated with improved outcome in severe sepsis and septic shock. Crit Care Med, 2004, 32:1637-1642.
  • 9Haji-Michael PG, Ladriere L, Sener A, et al. Leukocyte glycolysis and lactate output in animal sepsis and ex vivo human blood. Metabolism, 1999, 48:779-785.
  • 10McNelis J, Marini CP, Jurkiewicz A, et al. Prolonged lactate clearance is associated with increased mortality in the surgical intensive care unit. Am J Surg, 2001, 182:481-485.

共引文献29

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部