早期乳酸清除率对呼吸衰竭患者预后评估的作用
发布时间：2019-01-07 13:10
【摘要】：目的探讨早期乳酸清除率对呼吸衰竭患者预后评估的作用。方法收集呼吸内科重症监护室(RICU)内入院时血乳酸升高的呼吸衰竭患者117例,检测治疗前、治疗后12 h、24 h、48 h及72 h动脉血乳酸值及动脉血气,计算12 h乳酸清除率,并作入院时及入院后12 h急性生理学及慢性健康状况评价Ⅱ(APACHEⅡ)评分。比较血乳酸恢复正常时间与患者预后的关系;比较不同预后患者的临床特征;以血乳酸清除率10%为界分为高乳酸清除率组(10%)和低乳酸清除率组(10%),比较两组患者的预后及相关指标的差异。结果血乳酸值24 h内恢复正常组与血乳酸值72 h内未恢复正常组比较,预后有明显差异(P0.001);存活组12 h乳酸清除率(43.6%±26.8%)明显高于死亡组(12.3%±39.1%,P0.01);高乳酸清除率组病死率(25.8%)明显低于低乳酸清除率组(71.4%,P0.01)。结论早期乳酸清除率可作为判断呼吸衰竭患者预后的一个指标。
[Abstract]:Objective to investigate the effect of early lactate clearance rate on prognosis of patients with respiratory failure. Methods 117 patients with respiratory failure with elevated blood lactic acid on admission in (RICU) of respiratory internal medicine department were collected. The arterial blood lactic acid and arterial blood gas were measured before and after treatment for 24 h and 72 h, and the clearance rate of lactic acid at 12 h was calculated. The acute physiology and chronic health status evaluation 鈪，
本文编号：2403699
[Abstract]:Objective to investigate the effect of early lactate clearance rate on prognosis of patients with respiratory failure. Methods 117 patients with respiratory failure with elevated blood lactic acid on admission in (RICU) of respiratory internal medicine department were collected. The arterial blood lactic acid and arterial blood gas were measured before and after treatment for 24 h and 72 h, and the clearance rate of lactic acid at 12 h was calculated. The acute physiology and chronic health status evaluation 鈪，
本文编号：2403699
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