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目的评估肝衰竭患者血乳酸与预后的关系。方法检测62例肝衰竭患者血乳酸水平,同时进行APACHEⅢ健康状况评分。结果患者分为生存1组27例、生存2组18例和和死亡组17例。患者入院时,血乳酸水平高,生存患者血乳酸逐渐下降,而死亡患者则维持在高水平,甚至不断升高。结论乳酸对肝衰竭患者病情的变化及预后判断具有一定的价值,而且简便、实用。
Objective To evaluate the relationship between blood lactate and prognosis in patients with liver failure. Methods Blood lactate levels were measured in 62 patients with liver failure and APACHE III health status scores were also evaluated. Results The patients were divided into survival group 1 (27 cases), survival group 2 (18 cases) and death group (17 cases). Patients admitted to the hospital, high levels of blood lactate, blood lactate in patients with progressive decline, while the deaths were maintained at high levels, or even rising. Conclusion Lactic acid has certain value for the change of disease and prognosis in patients with liver failure, and is simple and practical.