重症脑卒中患者血乳酸水平与病人危重程度的关系  

The Relation between the Blood Lactate Level and the State of Severity in Severe Stroke Patients

作　　者：姬莉[1] 刘夕珍[1] 张宙[1] 沙瑞娟[1] 

机构地区：[1]南京脑科医院,南京210029

出　　处：《中国医药导刊》2008年第9期1338-1339,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:研究重症脑卒中患者血乳酸水平与病人危重程度的关系。方法:对我院147例重症脑卒中患者的动脉血乳酸水平进行回顾性分析。结果:死亡组患者血乳酸水平(10.72±3.99mmol/L)高于存活组患者(4.75±2.02mmol/L),有显著性差异(P<0.01)。乳酸水平中度增高组及高度增高组与乳酸水平正常组比较,病死率增高,有显著差异性(P<0.01)。随着血乳酸水平从Z00mmol/L,增高至>8.00mmol/L,病死率从22.00%增高至70.45%。结论:重症脑卒中病人血乳酸水平与病情危重程度相关,可作为判断病情的重要指标。Objective： To study the relation between the blood lactate level and the state of severity in severe stroke patients. Metheds： The arterial blood lactate level were retrospective analyzed in the 147 patients hospitalized with severe stroke. Results： The blood lactate level of the death （10.72±3.99mmol/L） was higher than the survival（4.75±2.02mmol/L）,with significandy difference （P〈0.01）.The fatalityratio of mid-range and hyper-range increased blood lactate level gmups were higher than the normal group; The mid-range and hyper-range increased blood lactate level groups were significantly difference compared with the normal group （P〈0.01）,The fatality ratio increased frmn 22.00% to 70.45% while the blood lactate level increased from ≤2.00mmol/L to 〉8.00mmol/L. Conclusions：The blood lactate level of Severn stroke patients was carrelate with the severity of pathogenetic condition.The blood lactate level may be the indication of pathogenetic condition.

关 键 词：血乳酸 重症脑卒中 危重程度 

分 类 号：R743.3[医药卫生—神经病学与精神病学]