摘要
目的:动态检测肺性脑病动脉血乳酸水平,分析肺性脑病患者预后。方法:选择2016年1月—2018年12月出院的肺性脑病患者67例,检测0,6,12,24,48,72 h动态血乳酸水平。按照72 h后血乳酸水平是否高于2.2 mmol/L,将患者分为好转组(33例)和恶化组(34例),分析患者预后。结果:好转组患者72 h血乳酸恢复正常,恶化组血乳酸水平明显高于好转组,并且持续时间长。结论:动态监测血乳酸水平是判断肺性脑病预后的一项较好指标。
Objective:Dynamic detection of arterial blood lactate levels in patients with pulmonary encephalopathy and analysis of prognosis in patients with pulmonary encephalopathy.Methods:All 67 patients with pulmonary encephalopathy who were discharged from Anqing Second People′s Hospital from January 2016 to December 2018 were tested for dynamic blood lactate levels in 0,6,12,24,48 and 72 hours.The patients were divided into the better group and the deteriorated group by detecting whether the blood lactate level was higher than 2.2 mmol/L after 72 hours,and their prognosis was analyzed.Results:The blood lactate level of 33 patients returned to normal within 72 hours,while the blood lactate level in 34 patients with deteriorated condition was significantly higher than that in the better group and lasted for a long time.Conclusion:Dynamic monitoring of blood lactate level is a good marker for prognosis of pulmonary encephalopathy.
作者
丁士林
黄菊花
张尧
DING Shilin;HUANG Juhua;ZHANG Yao(Anqing Second People′s Hospital,Anqing 2460004,China)
出处
《临床医药实践》
2020年第4期262-264,共3页
Proceeding of Clinical Medicine
关键词
呼吸衰竭
肺性脑病
血乳酸
预后
respiratory failure
pulmonary encephalopathy
lactate
prognosis
