156. Diagnose akuter intestinaler Gefäßverschlüsse mittels Serumlactat

Abstract

A prospective study with lactate in acute abdominal disease with and without intestinal ischemia was performed in 36 patients: 18 patients without ischemia showed 1.94 ± 1.02 mmol/l; 18 with ischemia were significantly higher, with 7.45 ± 2.86. After successful blood restoration or bowel resection, blood lactate decreased over 24 h to the normal value of 1.0-2.0 mmol. If lactate stays high in the first few postoperative hours, an immediate reoperation can be performed for a second look. The lactate difference in lower-extremity ischemia, with 1.72 ± 0.85 mmol, is also significant. Measuring blood lactate facilitated diagnosis and helped make decisions on when a second look should be taken in intestinal ischemia. © 1983 Springer-Verlag.