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华西医学  2011 

脓毒性休克早期液体复苏的临床反应性评价

, PP. 863-866

Keywords: 脓毒性休克,液体复苏,血乳酸清除率,尿量

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Abstract:

【】 目的 探讨脓毒性休克早期液体复苏的临床反应性。 方法 对2008年2月―2010年2月38例采用早期目标定向治疗方案治疗的脓毒性休克患者按是否存活进行分组,就中心静脉压、心率、平均动脉压、输液量、尿量、血乳酸等指标进行评价。 结果 38例采用早期目标定向治疗方案治疗6h均达标,存活21例(55.26%),死亡17例(44.74%),两组患者输液总量及输液种类差异无统计学意义(P>0.05),存活组6、24h尿量及血乳酸清除率明显优于死亡组(P0.05).Theurineoutputandlactateclearanceathour6and24forthesurvivalgroupwerebetterthanthatforthedeadgroup(P<0.05). Conclusion Thelactateclearanceandurineoutputcanberegardedasansurveillanceindicatoroffluidresuscitationforpatientswithsepticshock.

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