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Laktacidoza pri kritično bolnih = Lactacidosis in critically-illSinkovič, AndrejaPribližno 50% bolnikov sprejetih v intenzivne enote ima povišanje laktata, ki pomeni povečano tveganje za bolnišnično umrljivost kritično bolnih. Samo povišanje laktata še ne pomeni laktacidoze. ... Laktacidoza je takrat, ko je ob povišanju koncentracije laktata v krvi (> 5 mmol/l) prisotna še acidoza s pH < 7,35. Laktacidoza je lahko posledica povečane tvorbe, ali zmanjšane razgradnje laktata ali obojega. Pri kritično bolnih je laktacidoza večinoma posledica šoka, pa tudi sepse, akutne okvare pljučne funkcije, astme, delovanja zdravil (kateholamini, metformin, propofol, nitroprusid), pomanjkanja tiamina, okvare jeter. Laktacidoza ne daje specifičnih simptomov in znakov. Simptomi in znaki ob laktacidozi so posledica bolezni, ki je vzrok za nastanek laktacidoze. Laktacidoza tako označuje težo patološkega stanja. Identifikacija vzroka za njen nastanek je nujna za vzpostavitev vzročnega zdravljenje laktacidoze. Kontrolne vrednosti laktata kažejo na učinkovitost zdravljenja in prognozo bolezni, ki je privedla do laktacidoze.Source: [Zbornik predavanj in praktikum] (Str. 205-211)Type of material - conference contribution ; adult, seriousPublish date - 2010Language - slovenianCOBISS.SI-ID - 3656255
Author
Sinkovič, Andreja
Topics
Lactates |
Laktati |
Acidosis |
Acidoza |
Critical Illness |
Kritično stanje |
Mortality |
Umrljivost
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Database name | Field | Year |
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Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
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Sinkovič, Andreja | 18987 |
Source: Personal bibliographies
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