论文部分内容阅读
目的探讨预测脓毒症患者病情及预后的简便易行且有临床实用价值的指标。方法对50例ICU病房的脓毒症患者入住时行APACHEⅡ评分及动脉血乳酸水平测定,比较不同APACHEⅡ评分分值组与动脉血乳酸水平的关系。结果 APACHEⅡ评分21～30分组动脉血乳酸水平明显高于11～20分组(P<0.05);APACHEⅡ评分>30分组动脉血乳酸水平明显高于21～30分组(P<0.05)。动脉血乳酸水平与APACHEⅡ评分相关,死亡组动脉血乳酸水平明显高于存活组。结论随着APACHEⅡ评分增高,动脉血乳酸浓度也相应增高;动脉血乳酸浓度与危重病严重程度呈正相关,是危重病严重程度的早期、敏感的指标。
Objective To explore the index of predicting the condition and prognosis of patients with sepsis, which is simple and practical and has clinical value. Methods APACHEⅡscore and arterial blood lactate levels were measured in 50 ICU ward sepsis patients at the time of admission. The relationship between different APACHEⅡscore scores and arterial blood lactate levels was compared. Results The levels of arterial blood lactate in APACHEⅡscore 21-30 group were significantly higher than those in 11-20 group (P <0.05). The arterial blood lactate levels in APACHEⅡscore group> 30 group were significantly higher than those in 21-30 group (P <0.05). Arterial lactate levels were correlated with APACHE II scores, and arterial blood lactate levels in death group were significantly higher than those in survivors. Conclusion With the increase of APACHEⅡscore, arterial blood lactic acid concentration also increases accordingly. Arterial blood lactic acid concentration is positively correlated with the severity of critical illness, which is an early and sensitive indicator of the severity of critical illness.