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目的:探讨血乳酸和C-反应蛋白对老年脓毒症患者预后评估价值。方法:对老年脓毒症患者进行A-PACHE评分,测定动脉血乳酸水平和C-反应蛋白(CRP)水平。将患者分成存活组和死亡组,比较其上述指标的差异。结果:存活组和死亡组患者动脉血乳酸水平分别为(1.92±0.84)mmol/L和(2.98±1.57)mmol/L,APACHE评分分别为17.88±3.65和22.47±6.91(P<0.05),CRP分别为(5.74±5.57)mg/dl和(6.16±5.70)mg/dl(P>0.05)。结论:血乳酸可评估以老年脓毒症患者的预后,单纯的1次CRP水平对预后评估意义不大。
Objective: To investigate the prognostic value of serum lactate and C-reactive protein in elderly patients with sepsis. Methods: The A-PACHE score was measured in senile sepsis patients and the arterial blood lactate level and C-reactive protein (CRP) level were measured. The patients were divided into survival group and death group, comparing the differences of the above indexes. Results: The arterial blood lactic acid levels in survivors and death patients were (1.92 ± 0.84) mmol / L and (2.98 ± 1.57) mmol / L, respectively. APACHE scores were 17.88 ± 3.65 and 22.47 ± 6.91 (P <0.05) (5.74 ± 5.57) mg / dl and (6.16 ± 5.70) mg / dl respectively (P> 0.05). Conclusion: The blood lactate can be assessed in elderly patients with sepsis prognosis, a simple CRP level of prognostic significance.