10 cạm bẫy về thanh thải Lactate trong Sepsis - The ten pitfalls of lactate clearance in sepsis

của các tác giả: Glenn Hernandez, Rinaldo Bellomo và Jan Bakker
Lactate đã được xem là 1 mục tiêu trong điều trị Sepsis và sốc nhiễm khuẩn. Tuy nhiên, việc áp dụng Lactate, tiếp cận và phân tích các trường hợp tăng Lactate máu trong thực hành lâm sàng vẫn còn 1 số câu hỏi và cạm bẫy.
Bài viết này sẽ cung cấp thêm 1 số thông tin về sinh lý chuyển hóa Lactate, các cơ chế bệnh sinh gây tăng Lactate và tiếp cận những trường hợp tăng Lactate máu trong thực hành lâm sàng (kể cả sau khi hồi sức ban đầu), từ đó hy vọng sẽ giúp các thầy, cô và quý đồng nghiệp có thêm 1 vài thông tin hữu ích trong thực hành điều trị sepsis và Sốc nhiễm khuẩn
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Cuộc đời thì ngắn, mà nghề thì miên man;cơn bệnh phập phù;kinh nghiệm hiểm nguy, còn quyết định thì thật khó.Người thầy thuốc không phải chỉ chuẩn bị để tự mình làm đúng, mà còn khiến cho bệnh nhân, người đi theo và các yếu tố xung quanh hợp tác hài…
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