| 乳酸清除率和乳酸脱氢酶对急性肺损伤预后的评估 |
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| 引用本文： | 蒋龙元,周天恩,张萌,杨正飞. 乳酸清除率和乳酸脱氢酶对急性肺损伤预后的评估[J]. 中华危重症医学杂志(电子版), 2010, 3(2): 13-16. DOI: 10.3877/cma.j.issn.1674-6880.2010.02.004 |
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| 作者姓名： | 蒋龙元 周天恩 张萌 杨正飞 |
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| 作者单位： | 广州市中山大学第二附属医院急诊科,510120 |
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| 摘 要： | 目的评估早期乳酸清除率和乳酸脱氢酶(LDH)与急性肺损伤(ALI)患者预后的关系。方法回顾性分析我院2007年5月至2009年5月收治的63例ALI病例的临床资料;按有无并发多脏器功能不全综合征(MODS)和是否28d内死亡分为两组,比较两组间早期乳酸清除率和LDH水平;按早期乳酸清除率和LDH均值为界分为高低两组,比较两组间的病死率和MODS发生率。结果各组间性别、年龄等比较,差异无统计学意义(P均0.05);但MODS组和死亡组早期乳酸清除率分别低于非MODS组和存活组,MODS组和死亡组LDH值分别高于非MODS组和和存活组,差异均有统计学意义(P0.05)。低早期乳酸清除率组和高LDH组死亡率和MODS发生率分别高于高早期乳酸清除率组和低LDH组,差异有统计学意义(P均0.05)。结论早期血乳酸清除率和LDH对ALI患者预后的评估有较大价值。
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| 关 键 词： | 急性肺损伤 乳酸清除率 乳酸脱氢酶 |
Evaluation of lactate clearance rate and lactate dehydrogenase in prognosis of acute lung injury |
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| JIANG Long-yuan,ZHOU Tian-en,ZHANG Meng,YANG Zheng-fei. Evaluation of lactate clearance rate and lactate dehydrogenase in prognosis of acute lung injury[J]. Chinese Journal of Critical Care Medicine ( Electronic Editon), 2010, 3(2): 13-16. DOI: 10.3877/cma.j.issn.1674-6880.2010.02.004 |
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| Authors: | JIANG Long-yuan ZHOU Tian-en ZHANG Meng YANG Zheng-fei |
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| Affiliation: | JIANG Long-yuan,ZHOU Tian-en,ZHANG Meng,YANG Zheng-fei.Department of emergency,The Second Affiliated Hospital of Sun Yat-sen University,Guangzhou 510120,China |
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| Abstract: | Objective To evaluate the value of early lactate clearance rate and lactate dehydrogenase in the prognosis of patients with acute lung injury.Methods Sixtythree patients with acute lung injury in our hospital from May 2007 to May 2009 were involved and divided into two groups,according to multiple organ dysfunction syndrome(MODS) and death within 28 d respectively.The early lactate clearance rate and lactate dehydrogenase between the two groups were compared.They were also divided into two groups according ... |
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| Keywords: | Acute lung injury Lactate clearance rate Lactate dehydrogenase |
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