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乳酸在儿科中的应用
原作者: Jennifer Guyther;郑辛甜 发布日期:2015-01-05

Title: Lactate use in pediatrics
题目:乳酸在儿科中的应用
Author 作者: Jennifer Guyther
翻译:郑辛甜 校对:肖锋


The world of pediatrics is still working on catching up to adult literature in terms of lactate utilization and its implications.  
儿科医师仍在努力学习成人文献中有关乳酸的应用及推广。

The study referenced looked at over 1000 children admitted to the pediatric intensive care unit. Lactate levels were collected  2 hours after admission and a mortality risk assessment was calculated within 24 hours of admission (PRISM III).  
一项研究纳入了儿科重症监护室(PICU)收治的超过1000例患儿。患儿入院后2 h测定乳酸水平,入院24 h内计算病死率风险评估值(PRISM III)。

Results showed that the lactate level on admission was significantly associated with mortality after adjustment for age, gender and PRISM III score.
结果显示,经过年龄、性别以及PRISM III值调整后,入院后乳酸水平与病死率有明显关系。

Bottom line:  In your critically ill pediatric patient, lactate may be a useful predictor of mortality.
要点:对于危重症患儿,乳酸可能是一项预测病死率的有效指标。
References 参考文献:
Bai Z et al.  Effectiveness of predicting in-hospital mortality in critically ill children by assessing blood lactate levels at admission.  BMC Pediatrcs 2014; 14:83.