Cowan B N, Burns H J, Boyle P, Ledingham I M
Anaesthesia. 1984 Aug;39(8):750-5. doi: 10.1111/j.1365-2044.1984.tb06516.x.
A prospective study was completed of 30 shocked patients admitted consecutively to an intensive therapy unit; the majority of the patients had shock of septic origin. Measurements were made of whole blood lactate together with mean arterial pressure, hourly urine volume and core: peripheral temperature difference at the start of treatment and 3 and 24 hours later. Serial lactate measurements were better at predicting outcome than single measurements. However, lactate measurements were much less valuable than serial measurements of the simple haemodynamic variables.
对连续收治到重症治疗病房的30例休克患者进行了一项前瞻性研究；大多数患者患有脓毒症性休克。在治疗开始时、3小时后和24小时后测量全血乳酸水平，同时测量平均动脉压、每小时尿量和中心体温与外周体温差。连续乳酸测量在预测预后方面比单次测量更好。然而，乳酸测量的价值远低于简单血流动力学变量的连续测量。
