乳酸水平在脓毒性休克诊断和预后中的作用。

IF 1.2 4区医学 Q3 EMERGENCY MEDICINE Pediatric emergency care Pub Date : 2024-10-01 DOI:10.1097/PEC.0000000000003181

Daniela Carla de Souza, Roberto Jabornisky, Niranjan Kissoon

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引用次数: 0

摘要

摘要：脓毒性休克的早期识别和治疗是限制其发展为多器官功能障碍和死亡的关键因素。乳酸是代谢途径的副产品，通常在组织灌注不足和休克时升高，与脓毒症的不良预后有关。作为一种生物标志物，它可以帮助临床医生对脓毒症进行风险分层、识别和治疗。在本文中，我们将介绍乳酸的最新病理生理学以及它在脓毒症和脓毒性休克患儿的诊断、治疗和预后中的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Utility of Lactate Levels in the Diagnosis and Prognosis of Septic Shock.

Abstract: Early recognition of septic shock and its treatment are key factors for limiting progression to multiple organ dysfunction and death. Lactate, a byproduct of metabolic pathways, is usually elevated in tissue hypoperfusion and shock and is associated with poor prognosis in sepsis. As a biomarker, it may help the clinician in risk stratification, and the identification and treatment of sepsis. In this article, we provide an update on lactate's pathophysiology and role in diagnosis, treatment, and prognosis in children with sepsis and septic shock.

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来源期刊

Pediatric emergency care 医学-急救医学

CiteScore

2.40

自引率

14.30%

发文量

577

审稿时长

3-6 weeks

期刊介绍： Pediatric Emergency Care®, features clinically relevant original articles with an EM perspective on the care of acutely ill or injured children and adolescents. The journal is aimed at both the pediatrician who wants to know more about treating and being compensated for minor emergency cases and the emergency physicians who must treat children or adolescents in more than one case in there.