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2012, Number 1

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Rev Cub Med Int Emerg 2012; 11 (1)

Prognostic value of the lactic acid in the acute pancreatitis

Soto CO, García GA, Hernández TA, Illodo HOL, Hernández HI

Language: Spanish
References: 25
Page: 2324-2333
PDF size: 224.40 Kb.


ABSTRACT

Introduction: The acute pancreatitis is severe in the 20-30 % and could be associated with a mortality between 30-45 %. Some laboratories parameters have been used as markers of tissue ischemia where the more reliable are the determinations of lactic acid and the base deficit.
Objectives: To assess the correspondence among the level of lactic acid and the evolution of patients diagnosed with acute pancreatitis.
Methods: A prospective, longitudinal, analytical and observational study was conducted in the intensive care of the “Dr. Carlos J. Finlay” Military Hospital from October, 2009 to October, 2011.
Results: Forty patients were admitted diagnosed with acute pancreatitis in the study period. The mean age was of 48,7 years. Mortality was higher in the patients aged over 55. The was predominance of male sex and mortality also was higher. The more frequent complications were the hydroelectrolytic unbalances y acid-base and the syndrome of the systemic inflammatory response.
Conclusions: There was a direct relation among the values of lactate and the appearance of systemic and local complications.


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