重症患者的高乳酸血症与代谢性酸中毒

被引：8

作者：

杜微

刘大为

机构：

[1] 中国医学科学院北京协和医学院北京协和医院重症医学科

来源：

中华临床营养杂志 | 2011年 / 03期

关键词：

乳酸; 乳酸酸中毒; 酸碱平衡;

D O I：

暂无

中图分类号：

R459.7 [急症、急救处理];

学科分类号：

100231 [临床病理学];

摘要：

高乳酸血症和代谢性酸中毒的关系一直是讨论的热点,涉及到休克复苏、机体内环境稳定及营养支持等方面。一方面重症患者组织低灌注时无氧酵解增加带来的乳酸生成增多会加重代谢性酸中毒,而另一方面乳酸在器官水平和细胞水平被利用会引起血乳酸水平降低进而减轻代谢性酸中毒,最终血乳酸水平取决于两者的平衡。

引用

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