[Predictive value of metabolic profiles in multiple trauma].

Chir Forum Exp Klin Forsch, 1978;(1978):69-72.

Oestern HJ, Trentz O, Kolbow H, Hempelmann G, Trentz OA, Donay F

PMID: 110564

Abstract
An increase in the lactate:pyruvate ratio as well as in serum gluocse levels and a decrease in base excess values permit an early prediction of vital outcome in severely traumatized patients. Further laboratory data such as enzymes, bilirubin, and amino-acid concentrations, however, demonstrate significant differences between survivors and nonsurvivros at a later stage, i.e., from the 6th day on.
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