脓毒性休克患儿血乳酸的改变及临床意义  

Serum lactic acid change and its clinical significance to pyaemia shock children

作　　者：张文祥[1] 

机构地区：[1]江西省抚州市第一人民医院儿科,江西抚州344000

出　　处：《中国现代医生》2012年第23期46-47,共2页China Modern Doctor

摘　　要：目的探讨脓毒性休克患儿血乳酸的变化及与病情预后的关系。方法回顾性分析我院儿科2008年1月～2010年12月收治的30例脓毒性休克患儿,将患儿分为存活组21例,死亡组9例,并观察两组患儿入院时、治疗6 h后血乳酸的变化及与患儿预后的关系。结果存活组与死亡组入院时血乳酸水平比较差异无统计学意义(P>0.05),存活组血乳酸清除率明显高于死亡组(P<0.05)。结论动态监测血乳酸浓度是判断脓度性休克预后的良好指标。Objective To explore serum lactic acid change and its relation to prognosis of sick children with pyaemia shock. Methods Thirty cases with pyaemia shock treated in our department from Jan 2008 to Dec 2010 were retrospec tively analyzed, including alive group （21 cases） and dead group （9 cases）. Lactic acid change in serum and relation to prognosis of two groups were observed after admitted as well as treated for 6 hours. Results The content of lactic acid in serum of two groups had no remarkable difference after admitted （P 〉 0.05）, while the cleanup ratio of lactic acid in serum of alive group was obviously higher than that of dead group （P 〈 0.05）. Conclusion Dynamic inspecting lactic acid content in serum is a zood index for iudzinz the prognosis of pyaemia shock.

关 键 词：脓毒症 休克 乳酸 

分 类 号：R459.7[医药卫生—急诊医学]