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应重视严重创伤和围术期血乳酸的监测 被引量：6

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摘要 严重创伤和围术期氧代谢障碍是外科医生经常面对的棘手问题,处理不当将导致多器官功能不全综合征（multiple organ dysfunction syndrome,MODS）的发生。研究显示,在血压、
作者 管向东 李小悦
机构地区 中山大学附属第一医院SICU
出处 《中华普通外科学文献（电子版）》 2010年第4期1-2,共2页 Chinese Archives of General Surgery(Electronic Edition)
关键词 严重创伤 围术期 多器官功能不全综合征 血乳酸 监测 氧代谢障碍 外科医生
分类号 R641 [医药卫生—外科学]
  • 相关文献

参考文献21

  • 1Husain FA,Martin MJ,Mullenix PS,et al.Serum lactate and base deficit as predictors of mortality and morbidity.Am J Surg,2003,185(5):485-491.
  • 2管向东.氧代谢在外科危重病人中的应用[J].中国实用外科杂志,2001,21(4):200-202. 被引量：6
  • 3Tisherman SA,Barie P,Bokhari F,et al.Clinical practice guideline:endpoints of resuscitation.J Trauma,2004,57(4):898-912.
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二级参考文献25

  • 1王晓芝,吕长俊,高福全,李笑宏,颜卫峰,宁方玉.目标指导下治疗脓毒性休克的疗效观察[J].中国危重病急救医学,2006,18(11):661-664. 被引量：13
  • 2管向东,寇秋野.感染性休克血流动力学的监测指标[J].创伤外科杂志,2007,9(2):97-99. 被引量：28
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  • 7Gnanasegaram D, Hugher N. Towards evidence based emergenay medicine:best BETs from the Manchester Royal Infirmary. Bet 1. Lactate clearance a better predictor of mortality than initial lactate level lactate clearance a better predictor of mortality than initial lactate level. Emerg Med J,2008,25:593-594.
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共引文献94

同被引文献48

  • 1肖继明,陈锐华.颅脑外伤与脑心综合征[J].医学研究生学报,2004,17(10):939-941. 被引量：8
  • 2王东浩.乳酸清除率评估重度脓毒症患者预后的临床分析[J].中国急救医学,2007,27(1):15-17. 被引量：96
  • 3Husain FA, Martin M], Mullenix PS, et al. Serum lactate and base deficit as predictors of mortality and morbidity J]. Am J Surg, 2003,185(5) :485-491.
  • 4Tisherman SA,Barie P, Bokhari F,et al. Clinical practice guideline:endpoints of resuscitation[J]. J Trauma, 2004, 57(4) : 898-912.
  • 5Cusack RJ, Rholdes A, Lochhead P, et al. The strong ion gap does not have prognostic value in critically ill patients in a mixed medical/surgical adult ICU[J]. Intensive Care Med,2002,28(7) : 864-869.
  • 6Mcnelis J, Marini CP, Jurkiewicz A, et al. Prolonged lae tate clearance is associated with increased mortality in the surgical intensive care unit[J]. Am J Surg, 2001,182 (5) : 481-485.
  • 7Meregalli A,Oliveira RP, Friedman G. Occult hypoperfu- sion is associated with increased mortality in hemodynam ically stable, high-risk, surgical patients [J] Crit Care, 2004,8(2) : R60-R65.
  • 8Arnold RC,Shapiro NI,Jones AE, et al. Multicenter study of early lactate clearance as a determinant of survival in patients with presumed sepsis[J]. Shock, 2009,32 ( 1 ) : 35-39.
  • 9Cardinal Ferndndez PA, Olano E, Acosta C, et al. Prog nostie value of lactate clearance in the first 6 hours of in tensive medicine course [J]. Med Intensiva, 2009,33 (4) 166-170.
  • 10Randolph LC,Takacs M, Davis KA. Resuscitation in the pediatric trauma population admission base deficit remains an important prognostic indicator[J]. J Trauma, 2002,53(5) :838-842.

引证文献6

二级引证文献38

中华普通外科学文献（电子版）
2010年 第4期

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