血乳酸水平指导感染性休克患者治疗临床效果的研究  

Effect of Lactate-directed Treatment on Septic Shock Patients

作　　者：李政霖[1] 杨茂林 李元忠[1] 

机构地区：[1]大连市中心医院ICU,辽宁大连116033 [2]宽甸县中心医院ICU,辽宁丹东118200

出　　处：《赣南医学院学报》2007年第1期27-29,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探讨血乳酸目标指导性治疗对于感染性休克的治疗效果。方法:选择符合诊断标准的感染性休克患者40例,治疗组20例采用早期目标治疗,对照组20例采用常规治疗。结果:治疗组的乳酸、混合静脉血氧饱和度,28天死亡率较对照组明显改善。结论:血乳酸目标指导性治疗可改善感染性休克患者的生理指标和死亡率。Objective：Investigated the effect of lactate- directed treatment on septic shock. Methods ：40 septic shock patients who met the severe sepsis criteria were selected and randomly separated into two groups, treatment group and control group. The patients of treatment group were treated by lactate -directed treatment; these of control group were treated by conventional methods. Results：The blood lactate, SeVO2,28 - day mortality of treatment group were much better than these of control group. Conclusion： lactate - directed treatment greatly improves the physiological status and mortality of septic shock patients.

关 键 词：感染性休克 目标指导性治疗 血乳酸 

分 类 号：R631.4[医药卫生—外科学]