现将近来儿童急救医学研究进展总结如下。1脓毒症佟玉静等[1]发现,脓毒性休克存活组复苏前及复苏后1h、2h、6h的乳酸值明显低于死亡组,而乳酸清除率明显高于死亡组,尤其复苏后6h的血乳酸值及乳酸清除率可作为预后判断的指标。对于乳酸增高或持续增高的脓毒性休克患儿,一方面说明休克复苏疗效不佳;另一方面提示我们应采取更加积极的治疗策略,否则预后不良。李运2 Recent research progress of emergency medicine for children is summarized as follows. 1 sepsis Tong Yujing et al [1] found that before and after resuscitation septic shock survival group 1h, 2h, 6h lactic acid value was significantly lower than the death group, and lactic acid clearance was significantly higher than the death group, especially after 6h recovery Blood lactate and lactate clearance rate can be used as an indicator of prognosis. For children with septic shock with increased or continuous increase in lactate, on the one hand shows poor recovery of shock; on the other hand, we should take a more aggressive treatment strategy, otherwise the prognosis is poor. Li Yun 2