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APACHEⅡ评分在急诊ICU的应用 被引量:10

Application of acute physiology and chronic health evaluation Ⅱ score in the EICU
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摘要 目的应用急性生理与慢性健康状况评分(APACHE)Ⅱ评分系统对急诊重症监护室(EICU)患者进行病情评价和预后分析。方法应用APACHEⅡ评分系统对急诊ICU607例急危重症患者进行评分并统计各病种和各个APACHEⅡ评分区间组的病死率进行统计学分析。结果死亡组APACHEⅡ评分分值明显高于存活组(P〈0.01);APACHEⅡ分值与病死率呈正相关,得分越高,患者病死率越高;APACHEⅡ评分〉25分者病死率明显增加。结论APACHEⅡ评分可较好的评估急诊患者病情严重程度、预测预后。 Objective To apply acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ) scoring system to evaluate disease in EICU. Methods With the use of APACHE Ⅱ scoring system the severity of illness and prognosis were evaluated in 607 cases of critical patients. Results APACHE Ⅱ score of non-survival group was significantly higher than that of survival group (P〈0.01), and APACHE Ⅱ score was also positively correlated with the mortality. The mortality were significantly higher when APACHE Ⅱ〉 25. Conclusion APACHE Ⅱ score is reliable to evaluate the severity of illness and prognosis in critical patients.
出处 《中国急救复苏与灾害医学杂志》 2010年第8期748-750,共3页 China Journal of Emergency Resuscitation and Disaster Medicine
关键词 APACHEⅡ评分 急诊ICU 病死率 Acute Physiology and Chronic Health Evaluation Ⅱ score EICU Mortality
作者简介 通讯作者:俞芃,Email:yupengabc@sina.com.cn
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  • 1Knaus WA,Draper EA,Wanger DP,et al. APACHE Ⅱ:a severity of classification system. Crit Care Med, 1985,13: 818.
  • 2Beck DH, Taylor BL, Millar B, et al. Prediction of outcome from intensive care: a prospective cohort study comparing Acute Physiology and Chronic Health Evaluation Ⅱ and Ⅲ prognostic system in a United Kingdom intensive care unit. Crit Care Med, 1997,25 : 9.
  • 3Oh TE, Hutchinson R, Short S, et al. Verification of the acute physiology and chronic health evaluation scoring system in a Hong Kong intensive care unit. Crit Care Med, 1993,21:698.
  • 4江学成.危重疾病严重程度评分临床应用和意义[J].中国危重病急救医学,2000,12(4):195-197. 被引量:289

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