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全血乳酸的床旁评估

Bedside estimation of whole blood lactate.

作者信息

Soutter W P, Sharp F, Clark D M

出版信息

Br J Anaesth. 1978 May;50(5):445-50. doi: 10.1093/bja/50.5.445.

DOI:10.1093/bja/50.5.445
PMID:646915
Abstract

A new instrument for the measurement of lactate in biological fluids, the Lactate Analyzer 640, has been evaluated. The method of use recommended by the manufacturer for blood samples was found to be inadequate. A new method of sample preparation for the instrument, based upon immediate haemolysis and fluoridation of blood, has been developed, allowing measurement of whole blood lactate concentration to be performed on samples as small as 150 microlitre within 5 min of withdrawal. The instrument is designed to be operated by a medical practitioner. Excellent correlation with a conventional enzymatic assay was found. These features make this new method particularly applicable to rapidly changing clinical situations such as shock in adult patients, asphyxia neonatorum and intrapartum foetal hypoxia.

摘要

一种用于测量生物体液中乳酸的新仪器——乳酸分析仪640已得到评估。发现制造商推荐的用于血样的使用方法并不充分。基于血液的即时溶血和氟化作用,已开发出一种该仪器的新样品制备方法,使得能在采血后5分钟内对小至150微升的样品进行全血乳酸浓度测量。该仪器设计为由医生操作。发现其与传统酶法测定具有极好的相关性。这些特性使得这种新方法特别适用于快速变化的临床情况,如成年患者的休克、新生儿窒息和分娩期胎儿缺氧。

相似文献

1
Bedside estimation of whole blood lactate.全血乳酸的床旁评估
Br J Anaesth. 1978 May;50(5):445-50. doi: 10.1093/bja/50.5.445.
2
Lactate determination with the lactate analyser LA 640: a critical study.使用乳酸分析仪LA 640测定乳酸:一项批判性研究。
Scand J Clin Lab Invest. 1985 Apr;45(2):145-9. doi: 10.3109/00365518509160987.
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The use and clinical importance of a substrate-specific electrode for rapid determination of blood lactate concentrations.用于快速测定血乳酸浓度的底物特异性电极的用途及临床重要性。
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Improving lactate analysis with the YSI 2300 GL: hemolyzing blood samples makes results comparable with those for deproteinized whole blood.使用YSI 2300 GL改善乳酸分析:对血样进行溶血处理可使结果与去蛋白全血的结果具有可比性。
Clin Chem. 1992 Oct;38(10):2110-4.
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Rapid lactate determination with an electrochemical enzymatic sensor: clinical usability and comparative measurements.采用电化学酶传感器快速测定乳酸:临床实用性及对比测量
Z Klin Chem Klin Biochem. 1975 Dec;13(12):533-9. doi: 10.1515/cclm.1975.13.12.533.
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Prevention of cerebral palsy during labour: role of foetal lactate.分娩期间脑瘫的预防:胎儿乳酸的作用。
Arch Gynecol Obstet. 2008 Jul;278(1):17-22. doi: 10.1007/s00404-007-0531-1. Epub 2007 Dec 11.
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Rapid bedside estimation of plasma and whole blood lactic acid.血浆和全血乳酸的快速床旁检测
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Clinical value of a single postnatal lactate measurement after intrapartum asphyxia.产时窒息后单次产后乳酸测量的临床价值
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Semi-automatic blood lactate assay: experiences from an exercise laboratory.半自动血乳酸测定:来自运动实验室的经验
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Can Vet J. 1984 Oct;25(10):394-9.
2
Maximal oxygen uptake, anaerobic threshold and running economy in women and men with similar performances level in marathons.马拉松成绩水平相似的男性和女性的最大摄氧量、无氧阈和跑步经济性
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Rapid bedside estimation of plasma and whole blood lactic acid.血浆和全血乳酸的快速床旁检测
Intensive Care Med. 1980 Nov;7(1):35-8. doi: 10.1007/BF01692921.
4
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Can J Vet Res. 1986 Oct;50(4):509-16.
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Cardiovasc Drugs Ther. 1992 Feb;6(1):85-90. doi: 10.1007/BF00050921.
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Cardiovasc Drugs Ther. 1992 Aug;6(4):387-90. doi: 10.1007/BF00054186.