Cov ntshav lactate ib txwm yog 0.5-1 mmol / L. Hyperlactatemia yog txhais tau tias tsis tu ncua, me me mus rau nruab nrab siab (2-4 mmol / L) qib lactate yam tsis muaj metabolic acidosis. Qhov no tuaj yeem tshwm sim nrog cov ntaub so ntswg txaus perfusion thiab cov ntaub so ntswg oxygenation.
qib lactic acid siab txhais li cas?
Tus nqi lactic acid siab txhais tau tias lactic acidosis, uas tuaj yeem tshwm sim los ntawm: Kev poob dej hauv cov ntshav (lub cev qhuav dej). Cov teeb meem ntshav, xws li mob ntshav qab zib hnyav lossis leukemia. Kab mob siab lossis lub siab puas tsuaj uas tiv thaiv lub siab los ntawm kev rhuav tshem cov lactic acid hauv cov ntshav.
Qhov ib txwm muaj rau lactic acid yog dab tsi?
Cov txiaj ntsig zoo li ntawm 4.5 txog 19.8 milligrams ib deciliter (mg/dL) (0.5 txog 2.2 millimoles ib liter [mmol/L]).
Dab tsi lactic acid qib qhia tias sepsis?
Vim tias qib ntshav lactate txo qis mus rau 2 mmol/L, qib ntshav lactate yog qhov cim qhia ntau dua rau kev poob siab. Qhov tseem ceeb, cov ntshav qab zib theem >2 mmol / L qhia tau tias muaj tus mob zoo ib yam li sepsis nrog qis BP hauv qhov teeb meem no ntawm Journal of the American Medical Association (JAMA) (3).
lactate ntawm 7 txhais li cas?
Ib qho lactate siab yog cuam tshuam nrog kev tuag ntau ntxiv.1-7 Yog tias lactate tshem tawm nws cuam tshuam nrog txiaj ntsig zoo dua8- 12 Lactate yog qhov zoo tshaj plaws los tshuaj xyuas cov kab mob occult sepsis (occult sepsis yog thaum. tus neeg mob ntshav siab thiab lub hlwb zoo, tab sis tus neeg mob tseem muaj kev pheej hmoo tuag taus…
