CAJ | 학술논문

目的分析早期乳酸清除率与肺部感染致脓毒性休克患者疾病严重程度及预后的关系。方法观察收集68名肺部感染致脓毒性休克患者一般资料、急性生理学与慢性健康状况评分系统Ⅱ(APACHEII)评分、早期乳酸清除率等资料，根据患者预后将患者分为死亡组、存活组，比较两组的早期乳酸清除率；以乳酸清除率10%为标准，将患者分为高乳酸清除率组、低乳酸清除率组，比较两组的病死率。结果纳入患者一般资料无显著差异；存活组患者的早期乳酸清除率显著高于死亡组患者；低乳酸清除率组病死率显著高于高乳酸清除率组。结论早期乳酸清除率评估肺部感染致休克的患者严重程度及预后具有一定的敏感性。
목적분석조기유산청제솔여폐부감염치농독성휴극환자질병엄중정도급예후적관계。방법관찰수집68명폐부감염치농독성휴극환자일반자료、급성생이학여만성건강상황평분계통Ⅱ(APACHEII)평분、조기유산청제솔등자료，근거환자예후장환자분위사망조、존활조，비교량조적조기유산청제솔；이유산청제솔10%위표준，장환자분위고유산청제솔조、저유산청제솔조，비교량조적병사솔。결과납입환자일반자료무현저차이；존활조환자적조기유산청제솔현저고우사망조환자；저유산청제솔조병사솔현저고우고유산청제솔조。결론조기유산청제솔평고폐부감염치휴극적환자엄중정도급예후구유일정적민감성。
Objective To analyze early lactic acid clearance and lung infection to septic shock patients disease severity and prognosis. Methods Observation collect 68 lung infection to septic shock patients general material, acute physiology and chronic health Ⅱ scoring system (APACHEII) score, early lactic acid clearance etc material, according to the prognosis of patients with divided the patients into death group, live group, compared with two groups of early lactic acid clearance; To lactic acid clearance rate 10% as the standard, the patients were divided into high lactic acid clearance group, low lactic acid clearance group, compared with two groups of mortality. Results The general information into patients had no significant difference, Live groups were significantly higher than the early lactic acid clearance patients death; Low lactic acid clearance group significantly higher mortality high lactic acid clearance group. Conclusion Early lactic acid clearance evaluation lung infection induced shock of the patients severity and prognosis has certain sensitivity.