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心脏手术中的早期死亡率 - 乳酸盐是否重要?

Mohammad Zeeshan Hakim¹, Vivek Tewarson¹, Sarvesh Kumar¹

¹Department of Cardiovascular and Thoracic Surgery, King George's Medical University, Lucknow, India.

Brazilian journal of cardiovascular surgery

|October 17, 2024

概括

血清乳酸水平与心脏手术后更长的恢复时间相关. 虽然手术后24小时的乳酸预测死亡率,但它不是一个敏感的指标.

科学领域:

心血管外科心血管外科
关键护理医学关键护理医学
生物化学生化学

背景情况:

血清乳酸表明组织低 perfusion 和用于心脏手术患者管理.
早期死亡率和术后发病率是心脏手术后的关键问题.

研究的目的:

为了确定血清乳酸水平与早期死亡率之间的关联.
评估心脏手术患者乳酸盐和术后发病率之间的关系.

主要方法:

对270名接受心脏手术的患者进行前性队列研究.
在多个时间点测量血清乳酸水平:手术前,手术期间,以及手术后长达48小时.

主要成果:

早期死亡发生在6.3%的患者中.
乳酸和乳酸清除与机械通风持续时间,血管压缩器持续时间和ICU/住院时间相关.
手术前的乳酸和24小时后的乳酸是死亡率的独立预测因素.

结论:

动脉乳酸和乳酸清除与恢复指标相关 (通风,血管压缩剂,停留时间).
乳酸酸可以指导术后治疗决策.
乳酸本身并不是死亡率的敏感预测因素.

关键词:

心脏外科手术程序心脏外科手术程序重症监护病房的重症监护病房是重症监护病房.乳酸酸是什么乳酸是什么长度保持长度保持死亡率死亡率死亡率手术后的时间术后的时间

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