THE RELATIVE PROGNOSTIC VALUE OF LACTATE AND HEMODYNAMIC MEASUREMENTS IN EARLY SHOCK
THE RELATIVE PROGNOSTIC VALUE OF LACTATE AND HEMODYNAMIC MEASUREMENTS IN EARLY SHOCK
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DOI：
10.1111/j.1365-2044.1984.tb06516.x
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发表时间：
1984-01-01
期刊：
影响因子：
10.7
通讯作者：
LEDINGHAM, IM
中科院分区：
文献类型：
--
作者：
COWAN, BN;BURNS, HJG;LEDINGHAM, IM
完成了一项前瞻性研究的30名休克患者连续入院的强化治疗单位，大多数患者有败血症性休克的起源。在治疗开始时以及治疗后3小时和24小时测量全血乳酸盐、平均动脉压、每小时尿量和核心：外周温差。连续乳酸盐测量比单次测量更能预测结果。然而，乳酸盐测量的价值远远低于简单的血液动力学变量的系列测量。
A prospective study was completed of 30 shocked patients admitted consecutively to an intensive therapy unit; the majority of the patients had shock of septic origin. Measurements were made of whole blood lactate together with mean arterial pressure, hourly urine volume and core: peripheral temperature difference at the start of treatment and 3 and 24 hours later. Serial lactate measurements were better at predicting outcome than single measurements. However, lactate measurements were much less valuable than serial measurements of the simple haemodynamic variables.