动态监测血乳酸对危重病人在预后中价值  

The Prognosis Value of Dynamic Monitoring the Blood Lactic Acia Level in Critical Ill Patiants

作　　者：钟建勤[1] 钟志民[1] 高翔[1] 

机构地区：[1]深圳市沙井人民医院,广东深圳518104

出　　处：《实用临床医学（江西）》2006年第1期36-37,共2页Practical Clinical Medicine

摘　　要：目的:探讨危重病人血乳酸监测的临床价值。方法:结合APACHEⅡ评分,分析23例危重病人血乳酸动态变化。结果:23例危重病人3 d内死亡9例。生存组APACHEⅡ评分值为19.27分、12.34 mmol/L,死亡组A-PACHEⅡ评分值为29分、20.12 mmol/L,血乳酸与APACHEⅡ死亡组病人的血乳酸水平明显高于存活组。血乳酸与APACHEⅡ评分量呈正相关。结论:动态监测血乳酸水平量是判断危重病人预后的一个良好指标,血乳酸越高,且长时间不能恢复正常者,预后差。Objective： To study the clinical value of blood lactic acid level of patients in critical ill. Methods： The blood lactic acid levels of patients in critical ill were detected with APACHE Ⅱ scoring system. Results：Nine were dead in 23 critical ill patients within 3 days. The APACHE II score and the blood lactic acid value were 19.27 and 12.34 mmol/L in the living group,29 and 20. 12mmol/L in the dead group. The blood lactic acid level of the dead group was obviously higher than that of the living group and the blood lactic acid level was related to the APACHE Ⅱ score. Conclusion：The blood lactic acid level is a useful index for the prognosis evaluation in critical ill patients. The higher the blood lactic acid level the critical ill patients have, the worse prognosis they have,especially when the blood lactic acid value has been in high level for a long time.

关 键 词：危重病 血乳酸 动态检测 临床评价 

分 类 号：R587.6[医药卫生—内分泌]