Effects of Infusion of Acetated Ringer's Solution on Serum Electrolytes, Lactate and Body Temperature in Elderly Patients Undergoing Septic Shock Opertion

Abstract

To explore the effect of acetated Ringer's solution on serum electrolytes, lactate and body temperature in elderly patients undergoing septic shock operation, sixty patients are admitted for emergent operation of septic shock and randomly divided into three groups (n=20 for each group): acetated Ringer's group (group P), lactated Ringer's group (group L) and normal saline group (group N). The patients of three groups are received the infusion of acetated Ringer's solution, lactated Ringer's solution and normal saline solution respectively with the fix speed of l OOOm1lh. Arterial blood gas analysis was performed before induction of anesthesia(Fi), before (F2) and end (F3) of operation. Arterial blood sample are taken to detect pH, BE, electrolytes, blood glucose, lactic acid. Core temperature was monitored at nasopharynx from induction of anesthesia to the end of operation. Shivering within 2h after operation was evaluated by 4-point scale. The patients receiving acetated Ringer's solution had significantly increased serum pH and BE and decreased serum lactic acid at T3 compared to those receiving lactated Ringer's solution and normal saline solution (P0.05). in acetated Ringer's group, the decrease of core temperature was significantly lower at T3 compared to those receiving lactated Ringer's solution and normal saline solution (P