[Differential diagnostic significance of lactate in acute abdominal diseases].
Fourty-four patients with abdominal complaints were analysed for blood lactate levels prior to surgery. Exploratory surgical diagnoses were co-related with blood lactate levels and these co-relations are summarised here. Rise in blood lactate level was found to be significant in all cases of mesenteric infarction (n = 10). The lactate levels were also high in all cases of general peritonitis (n = 4) and 50% (5 out of 10) of cases of bowel strangulation. In all the other surgical explorations, besides the above mentioned, blood lactate was found to lie within a normal range. From the aforesaid study, although pertaining to a small group, it seems plausible that patients presenting with abdominal diseases associated with an elevated blood lactate level represent a surgical emergency. Measurement of blood lactate level can be of great help in the diagnosis of acute surgical emergencies needing early exploration, especially in cases of mesenteric infarction.
Lange
H
H
Chirurgische Klinik, Kreiskrankenhaus Köping, Schweden.
D000006:Abdomen, Acute / Q000097:blood / Q000209:etiology*; D000368:Aged; D000369:Aged, 80 and over; D001424:Bacterial Infections / Q000150:complications; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007238:Infarction / Q000150:complications; D007415:Intestinal Obstruction / Q000150:complications; D007773:Lactates / Q000097:blood*; D019344:Lactic Acid; D008297:Male; D008638:Mesenteric Arteries; D008641:Mesenteric Vascular Occlusion / Q000150:complications; D010538:Peritonitis / Q000150:complications
D007773:Lactates; D019344:Lactic Acid
Die differentialdiagnostische Bedeutung des Lactats bei akuten Baucherkrankungen.