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血乳酸对危重症患者预后的影响一直是一个跨学科的研究热点,很多结论肯定了血乳酸在分析病情、指示预后的重要意义,血乳酸升高的程度越高、持续时间越久、乳酸清除率越低,患者的预后也就越差。本文对感染性休克与血乳酸的相关性进行概述,并从乳酸的产生、代谢清除过程和升高原因等方面作一综述,深入探讨血乳酸动态监测对感染性休克的评价作用,阐述血乳酸在感染性休克患者病情、预后评价和指导治疗上的重要价值。
The impact of BLA on the prognosis of critically ill patients has always been an interdisciplinary hotspot. Many conclusions confirm the significance of BLA in analyzing the disease and indicating the prognosis. The higher the BLA and the longer the lactic acid clearance The lower the patient’s prognosis will be worse. This article summarizes the correlation between septic shock and blood lactic acid, and reviews the production of lactic acid, the process of metabolic clearance and the reasons for the increase, and discusses in depth the evaluation of the dynamic monitoring of serum lactic acid on septic shock, In patients with septic shock, prognosis evaluation and guidance of the treatment of important value.