早期血乳酸测定在严重脓毒血症与感染性休克中的意义

The significance of early blood lactic acid determination in severe sepsis and septic shock

目的:探讨早期血乳酸测定在严重脓毒血症与感染性休克中的意义。方法:收治严重脓毒血症与感染性休克患者60例,回顾分析其临床资料。结果:生存组患者液体复苏前、液体复苏6 h后血乳酸检测水平均明显低于死亡组(P<0.05);液体复苏6 h,血乳酸消除率明显高于死亡组(P<0.05);6 h液体复苏达标率明显高于死亡组(P<0.05)。结论:早期血乳酸水平监测能够准确预测严重脓毒血症以及感染性休克患者的预后水平。

Objective:To investigate the significance of early lactic acid in patients with severe sepsis and septic shock.Methods:60 patients with severe sepsis and septic shock were selected.The clinical data of them were retrospectively analyzed.Results:The blood lactate levels of the survival group patients before fluid resuscitation and after fluid resuscitation 6 h were significantly lower than those of the death group(P<0.05);the elimination rate of blood lactic acid in liquid recovery 6 h was significantly higher than that of the death group(P<0.05);6 h liquid recovery rate was significantly higher than that of the death group(P<0.05).Conclusion:The level of blood lactic acid monitoring early to predict severe sepsis and prognosis of patients with septic shock level.