Reddy Anita J, Lam Simon W, Bauer Seth R, Guzman Jorge A
Quality Officer, Medical Intensive Care Unit, Departments of Pulmonary Medicine and Critical Care Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA. E-mail:
Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH, USA.
Cleve Clin J Med. 2015 Sep;82(9):615-24. doi: 10.3949/ccjm.82a.14098.
In hospitalized patients, elevated serum lactate levels are both a marker of risk and a target of therapy. The authors describe the mechanisms underlying lactate elevations, note the risks associated with lactic acidosis, and outline a strategy for its treatment.
在住院患者中,血清乳酸水平升高既是风险指标,也是治疗目标。作者描述了乳酸升高的潜在机制,指出了与乳酸酸中毒相关的风险,并概述了其治疗策略。