急性危重病患者血乳酸(LACT)与血气检测的临床应用  

The clinic practice of blood lactates acid and gas in acute critical illness from ICU

作　　者：陈海雁 

机构地区：[1]惠阳人民医院检验科,广东惠阳516211

出　　处：《临床和实验医学杂志》2007年第7期91-91,94,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨急性危重病患者血清乳酸(LACT)和血气的临床应用。方法对65例急性危重病患者和25例正常对照组同步测定乳酸(LACT)与血气指标。结果急性危重病患者组血气指标与正常对照组差异无显著性(P>0.05);但危重病患者组乳酸浓度和血糖浓度较正常对照组明显升高(P<0.01)。结论急性危重病患者由于缺氧、高代谢、低灌注等原因,在未出现明显酸中毒之前即可有高乳酸血症存在,因此对危重病患者进行乳酸和血气检测有非常重要的临床意义。Objective To explore the clinical practice of blood lactates acid and gas in acute critical illness from ICU. Methods ： The plasma leves of Lactates acid and gas were detected in 65 patients with acute critical illness from ICU and in 25 normal volunteers. Results The plasma leves of lactates acid were significants higher in acute patients than those in normal controls （ P 〈0.01 ） ;but no significant difference was found between the acute patients and the normal controls in gas analysis （ P 〈 0.01 ）. Conclusion Because of the anoxia , high - metabolize, low - priming and so on ,there was high lactates acid blood ill before the severe acidosis in the acute critical ill , so both blood lactates and gas test is very significant to the acute critical illness from ICU.

关 键 词：急性危重病 乳酸(LACT) 血气 

分 类 号：R446.1[医药卫生—诊断学]