摘要
目的 探讨脓毒症休克患儿体内血乳酸的变化,及其与多器官功能障碍（MODS）和预后的关系。方法 脓毒症休克患儿30例及对照组30例,均采集动脉血进行乳酸测定。结果 脓毒症休克组血乳酸值明显高于对照组（P〈0.01）,脓毒症休克组30例中,MODS组24例,无MODS组6例,死亡9例,存活21例。MODS组血乳酸高于无MODS组（P〈0.05）,死亡组血乳酸高于存活组（P〈0.01）。结论 脓毒症休克患儿体内血乳酸水平明显升高;血乳酸值越高,越容易出现MODS,预后越差。
Objective To explore changes of blood lactic acid in children with septic shock and the relation with multiple organ dysfunction syndrome （MODS） and prognosis. Methods Thirty cases of septic shock and the control group of 30 patients were collected for blood lactic acid determination. Results Blood lactic acid was significantly higher in septic shock group （ P 〈 0. 01 ）, 24 cases were in MODS, and 9 cases were died in the septic group. Blood lactic acid in MODS group were higher than those without MODS （ P 〈0.01 ）. Blood lactic acid in died group was higher than in survival group （ P 〈0.01 ）. Conclusion Blood lactic acid levels in children with septic shock increased significantly. More higher the blood lactate, more easy complicating MODS, more worse the prognosis.
出处
《中原医刊》
2007年第21期88-89,共2页
Central Plains Medical Journal
