血乳酸水平对感染性休克预后的临床分析

摘要

目的 回顾性观察37例感染性休克患者的血乳酸水平,探讨其对感染性休克患者预后的准确性和灵敏性.方法 将37例感染性休克患者分为存活组和死亡组,其中存活组27例,死亡组10例,动态监测血乳酸水平及APACHEII评分.结果 血乳酸水平和APACHE Ⅱ评分死亡组较存活组明显升高,有统计学意义(P＜0.05).APACEⅡ评分与血乳酸水平呈显著正相关(r=0.697,P＜0.05).结论 血乳酸水平可以作为判断感染性休克患者预后的参考指标之一,与APACHEⅡ评分有良好的相关性.%Aim To investigate the accuracy and sensitivity of prognostic estimation in septic shock patients by blood lactic acid level.Methods 37 cases of septic shock patients were divided into the survival group and death group,27 cases in the survival group,10 patients in the death group Blood lactate levels and APACHE Ⅱ score were monitored dynamically. Results APACE Ⅱ scores and blood lactic acid level in death group were higher than those in survival group(P ＜0.05). APACHE Ⅱ scores were positively correlated with blood lactic acid level(r = 0. 697 , P ＜ 0.05). Conclusion Blood lactic acid level can be used as a referred index during prognostic estimation in septic shock patients,and is correlated with APACHE Ⅱ scores favourably.