血乳酸和D-二聚体的测定对感染性休克的预后评估  

Blood lactic acid and D-dimer determination of prognosis of septic shock

作　　者：张昆[1] 李政霖[1] 张芝晶[1] 

机构地区：[1]辽宁省大连市中心医院急诊病房,辽宁大连116033

出　　处：《中国当代医药》2010年第30期66-67,共2页China Modern Medicine

摘　　要：目的:探讨血乳酸和D-二聚体对感染性休克患者预后评估的价值。方法:对感染性休克患者进行APACHEⅡ评分,测定动脉血乳酸水平和D-二聚体水平。将患者分成存活组和死亡组,比较其上述指标的统计学差异。结果:存活组和死亡组患者动脉血乳酸水平分别为(1.92±0.84)mmol/L和(4.98±2.57)mmol/L,D-二聚体分别为(4.74±4.27)mg/L和(6.16±4.70)mg/L,APACHEⅡ评分分别为17.88±3.65和22.47±6.91。结论:血乳酸、D-二聚体可用于早期评估感染性休克患者的预后。Objective：To investigate the blood lactic acid and D-dimer on the prognostic evaluation of patients with septic shock value.Methods：The patients with septic shock APACHE Ⅱ score,Arterial blood lactate levels and D-dimer levels.The patients were divided into the survival group and death group compared the statistical differences between these indi cators.Results：The survival group and death group were patients with arterial blood lactate levels（1.92 ±0.84） mmol/L and（4.98±2.57） mmol/L,D-dimer,respectively（4.74±4.27） mg/L and（6.16±4.70） mg/L,APACHE Ⅱ score was 17.88±3.65 and 22.47±6.91.Conclusion：The blood lactic acid,D-dimer can be used for early assessment of the prognosis of patients with septic shock.

关 键 词：感染性休克 血乳酸 D-二聚体 预后 

分 类 号：R631.4[医药卫生—外科学]