摘要
为检验ＡＰＡＣＨＥⅡ系统在慢性肺原性心脏病中应用的可行性，应用ＡＰＡＣＨＥⅡ疾病严重度测量系统对我院近５年间收治的２２４例慢性肺原性心脏病急性发作期患者进行了病情分级，预测和实际死亡符合情况，进行病情改善与测量值关系的研究。结果表明：将患者病情根据各组实际死亡数差异确定ＡＰＡＣＨＥⅡ测量值０～１０分组为轻度，１１～２０分组为中度，２１～３０分组为重度，３０分以上组为危重度；预测和实际死亡例数基本符合，当住院死亡危险机率（Ｒ）大于０．５时，正确率在９０％左右；随存活患者病情改善，测量值逐渐降低。提示：高于２０分患者须进入呼吸重症监护病房，加强治疗护理；并应对其死亡危险机率作出预测；同时，可以此测量系统作为监视病情转归。
By using the APACHEⅡ severity of disease classification system,grading of the disease was carried out in the treatment of 224 hospitalized patients with acuteonchronic cor pulmonale in recent five years.Correspondency between expected and actual death rates,and relationships between the improvement of the disease and scores were studied respectively.The results showed that the values of APACHEⅡ were determined according to the difference of actual deaths between different groups:010 was mild;1120 moderate,2130 severe,over 30 critical.The expected death rate was basically in accordance with the actual one;when the risk of hospital death was more than 0 5,corrective rate was about 90%;with the improvement of the diseases of survivals,the values of the improvement decreased gradually.The conclusion indicated the patients whose scores were over 20 should be monitored in the respiratory intensive care unit to provide a better treatment and nursing care.The prediotion of the risk of hospital death of the patients should also be made.At the same time,the system of measurement can be used as one of the important clinical assistant methods to monitor the changes of the severity of the disease,and evaluate the comprehensive therapeutic effectiveness.
出处
《中国危重病急救医学》
CAS
CSCD
1996年第6期339-341,共3页
Chinese Critical Care Medicine
关键词
肺心病
心脏病
APACHEⅡ
chronic cor pulmonale
acute physiology and chronic health evaluationⅡ
risk of hospital death
