论文部分内容阅读
目的:探讨早期动脉血乳酸清除率评估严重脓毒症患者预后的临床价值。方法:回顾性分析中山大学附属第一医院急诊科和河源市人民医院重症监护病房(ICU)68例严重脓毒症患者的临床资料,根据患者的预后情况将其分为存活组及死亡组,比较两组治疗6 h后的血乳酸清除率。结果:存活组治疗6 h后的血乳酸清除率显著高于死亡组,P<0.05。结论:治疗6 h后的动脉血乳酸清除率可有效地预测严重脓毒症患者的预后。
Objective: To investigate the clinical value of early arterial blood lactate clearance in assessing the prognosis of patients with severe sepsis. Methods: The clinical data of 68 patients with severe sepsis admitted to the First Affiliated Hospital of Sun Yat-sen University and the intensive care unit (ICU) of Heyuan People’s Hospital were retrospectively analyzed. According to their prognosis, the patients were divided into survival group and death group. Blood lactic acid clearance was compared between the two groups after 6 hours of treatment. Results: The lactic acid clearance rate of survival group after 6 h treatment was significantly higher than that of death group (P <0.05). Conclusion: Arterial lactate clearance rate after 6 h treatment can effectively predict the prognosis of patients with severe sepsis.