论文部分内容阅读
目的评估乳酸清除率与重症创伤患者预后的关系。方法回顾性分析2010年1-6月收住曲靖市第一人民医院ICU科的37例重症创伤患者的初始血乳酸值、第2次血乳酸值、乳酸清除率及患者的预后,将患者分为存活组和死亡组,比较两组患者初始血乳酸值、乳酸清除率的差异。结果两组患者年龄、性别、初始血乳酸值差异无统计学意义(P>0.05)。存活组血乳酸清除率(48.26±21.57)%明显高于死亡组(11.71±20.88)%,差异有统计学意义(P<0.001);当乳酸清除率≥13%时,能较好地预测患者生存,其灵敏度为96%,特异度为80%。结论乳酸清除率可用于评估重症创伤患者的预后。
Objective To evaluate the relationship between lactic acid clearance and the prognosis of severe trauma patients. Methods The initial blood lactate, second blood lactic acid, lactic acid clearance and prognosis of 37 severe traumatic patients admitted to ICU of Qujing First People’s Hospital from January to June in 2010 were retrospectively analyzed. The patients’ For the survival group and death group, the differences of initial blood lactic acid and lactic acid clearance between the two groups were compared. Results There was no significant difference in age, sex and initial blood lactate between the two groups (P> 0.05). The lactic acid clearance rate in survival group (48.26 ± 21.57)% was significantly higher than that in death group (11.71 ± 20.88)%, and the difference was statistically significant (P <0.001); when lactate clearance rate was ≥13% Survival, with a sensitivity of 96% and a specificity of 80%. Conclusion Lactate clearance can be used to assess the prognosis of patients with severe trauma.