急腹症病人腹腔液乳酸浓度及其临床意义探讨  

Peritoneal fluid lactic acid levels and its significance in diagnosis of acute abdomen.

作　　者：王士望[1] 秦书铭[1] 张为 李学东[1] 

机构地区：[1]天津医科大学第二医院外科,300211

出　　处：《中国实用外科杂志》1996年第7期399-400,共2页Chinese Journal of Practical Surgery

摘　　要：对31例外科急腹症病人腹腔积液及血浆乳酸浓度进行了测定。以空腔脏器是否存在绞窄、穿孔、化脓及坏死等病理改变将资料分为两组。结果显示,腹腔积液乳酸浓度病变组较非病变组显著增高。以腹腔液与血浆乳酸浓度差值>2.0mmol/L作为判断有无上述病变的标准,其敏感度为94.7%,特异度为100%。结果说明,腹腔液乳酸浓度的测定在外科急腹症的诊断中具有一定的参考意义。We have measured peritoneal fluid and plasma lactic acid levels in 31 patients with acute abdomen. The patients were divided into two groups based on the presence or absence of hollow viscus strangulation, perforation, peritonitis and gangrene. The peritoneal fluid lactic acid level was significantly higher in patients who were found to have the above pathemas. The value of more than 2.0 mmol/L difference between peritoneal and plasma lactic acid was used to define patients with the above conditions. The sensitivity was 94.7% and the specificity was 100%. These results suggest that peritoneal fluid lactic acid level appears to be helpful in diagnosis of acute abdomen.

关 键 词：急腹症 乳酸 腹腔液 

分 类 号：R656.1[医药卫生—急诊医学]