危重病人血清乳酸水平:一个早期的指标

IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL
Ruchi Kabra, S. Acharya, S. Sushanth Kumar
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引用次数: 1

摘要

高乳血症(血乳酸过多)在严重不适的个体中很常见。尽管乳酸水平通常用于表示组织氧合不足,但也可以通过与组织氧合无关的机制升高。糖酵解增加可能是高乳血症的主要原因,尤其是在危重患者中。尽管如此,乳酸水平升高对高乳血症患者的发病率和死亡率有严重影响。尽管乳酸酸中毒这个短语被广泛使用,但只有在较高的乳酸水平下,乳酸和pH之间才会出现实质性的联系。因此,乳酸相关酸中毒这个词更合适。在早期复苏中,最近的两项研究强调了监测乳酸水平和根据乳酸水平变化调整治疗的必要性。结构性乳酸盐测量应包括在复苏方案中,因为乳酸盐水平可以在床边从各种来源快速评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Serum lactate levels in critically Ill patients: An early marker to be targeted
Hyperlactatemia (excess blood lactate) is common in severely unwell individuals. Although lactate levels are routinely used to indicate insufficient tissue oxygenation, they can also be elevated by mechanisms unrelated to tissue oxygenation. Increased glycolysis may be a major cause of hyperlactatemia, especially in critically sick individuals. Despite this, elevated lactate levels have serious consequences for the morbidity and mortality of hyperlactatemia individuals. Despite the widespread use of the phrase lactic acidosis, a substantial link between lactate and pH appears only at higher lactate levels. As a result, the phrase lactate-related acidosis is more suitable. In early resuscitation, two recent studies have emphasized the necessity of monitoring lactate levels and adjusting treatment to changes in lactate levels. Structured lactate measures should be included in resuscitation protocols since lactate levels may be assessed quickly at the bedside from a variety of sources.
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来源期刊
Journal of the Scientific Society
Journal of the Scientific Society MEDICINE, GENERAL & INTERNAL-
自引率
33.30%
发文量
19
审稿时长
36 weeks
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